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Contact Information

EUGENE M CONNOLLY, RPA-C
518 MONTAUK HWY
SUITE 102
AMAGANSETT, NY11930-2110
 Phone: 631-267-5373
 Fax: 631-267-5376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for EUGENE M CONNOLLY · (Male)

NPI # 1013121474
Status Active
Credentials RPA-C
Entity Individual
Enumeration date 05/09/2007
Last updated 02/05/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 010108
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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