Provider Demographics
NPI:1013689066
Name:CONNOR, JOSHUA W (DPT)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:W
Last Name:CONNOR
Suffix:
Gender:M
Credentials:DPT
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Mailing Address - Street 1:1757 MERRICK AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:N MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-2717
Mailing Address - Country:US
Mailing Address - Phone:516-623-4388
Mailing Address - Fax:516-623-1948
Practice Address - Street 1:1757 MERRICK AVE STE 100
Practice Address - Street 2:
Practice Address - City:N MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-2717
Practice Address - Country:US
Practice Address - Phone:516-623-4388
Practice Address - Fax:516-623-1948
Is Sole Proprietor?:No
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist