Provider Demographics
NPI:1558711614
Name:CONNORS, BRIT
Entity Type:Individual
Prefix:
First Name:BRIT
Middle Name:
Last Name:CONNORS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 HILTON AVE
Mailing Address - Street 2:B12
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-2822
Mailing Address - Country:US
Mailing Address - Phone:516-238-6821
Mailing Address - Fax:
Practice Address - Street 1:67 HILTON AVE
Practice Address - Street 2:B12
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530
Practice Address - Country:US
Practice Address - Phone:516-238-6821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-20
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist