Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EUGENE MARK CONNOLLY, RPA-C
ActiveMR. EUGENE MARK CONNOLLY, RPA-C is a Medical Physician Assistant healthcare provider located in AMAGANSETT, New York. NPI 1013121474 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · AMAGANSETT, NY
Registration Details
- NPI Number
- 1013121474
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2007 (19.259892957077 yrs)
- Last Updated
- Feb 5, 2020
- License
-
010108 (NY)
Practice Information
- Address
-
518 MONTAUK HWYSUITE 102AMAGANSETT, NY, 119302110Browse NY providers · Browse ZIP 11930
- Phone
- 6312675373
- Fax
- 6312675376
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in AMAGANSETT, NY
| Name | Credential | NPI |
|---|---|---|
| PETER J SIEFKEN | PA | 1144347261 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.