Healthcare Provider Details

I. General information

NPI: 1538521604
Provider Name (Legal Business Name): FRANCIS JEROME O'NEILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: FRANK JEROME O'NEILL MD

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 03/25/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 HEMPSTEAD TPKE
EAST MEADOW NY
11554-1859
US

IV. Provider business mailing address

2201 HEMPSTEAD TPKE CARDIOLOGY DEPARTMENT
EAST MEADOW NY
11554-1859
US

V. Phone/Fax

Practice location:
  • Phone: 516-572-6637
  • Fax: 516-572-5100
Mailing address:
  • Phone: 165-296-2567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number302478
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: