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1568467694

NPI Code Detail

MEDICARE: DR. JAMES E O'NEILL JR. MD

MEDICARE: DR. JAMES E O'NEILL JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	148731	NY
2	207L00000X	Anesthesiology Physician	029912E	PA
3	207L00000X	Anesthesiology Physician	148373	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	22D371	OTHER	NY	BLUE SHIELD

General Provider Information

NPI Number	:	1568467694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES E O'NEILL JR. MD

Provider Business Mailing Address
First Line	:	P.O. BOX 550
Second Line	:	2 CATHERINE STREET JAMES O'NEILL, MD
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12602
Country	:	US
Telephone Number	:	866-868-8418
Fax Number	:	845-790-2675

Provider Business Practice Location Address
First Line	:	1980 CROMPOND ROAD
Second Line	:	HUDSON VALLEY HOSPITAL CENTER
City	:	CORTLANDT MANOR
State	:	NY
Zip	:	10567-4179
Country	:	US
Telephone Number	:	914-737-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	05/25/2011

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Directions to “ DR. JAMES E O'NEILL JR. MD” Practice Location

Language	Start Address	Practice Location

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