Provider Demographics
NPI:1568727774
Name:O'CONNOR, MARGARET (MED)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1543 MYRON ST
Mailing Address - Street 2:
Mailing Address - City:NISKAYUNA
Mailing Address - State:NY
Mailing Address - Zip Code:12309-4223
Mailing Address - Country:US
Mailing Address - Phone:518-381-1070
Mailing Address - Fax:
Practice Address - Street 1:107 NOTT TERRACE
Practice Address - Street 2:SUITE 306
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308
Practice Address - Country:US
Practice Address - Phone:518-386-2815
Practice Address - Fax:518-386-2801
Is Sole Proprietor?:No
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator