Provider Demographics
NPI:1447483649
Name:O'CONNOR, JUMOL (CFO, RN)
Entity type:Individual
Prefix:MR
First Name:JUMOL
Middle Name:
Last Name:O'CONNOR
Suffix:
Gender:M
Credentials:CFO, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:692 E NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-1202
Mailing Address - Country:US
Mailing Address - Phone:718-363-8007
Mailing Address - Fax:718-363-7676
Practice Address - Street 1:692 E NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-1202
Practice Address - Country:US
Practice Address - Phone:718-363-8007
Practice Address - Fax:718-363-7676
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment