Mr. Eugene Mark Connolly, RPA-C
Mr. Eugene Mark Connolly, RPA-C is a Physician Assistant in Amagansett, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2022, 4 years ago. Practices with North Shore Lij Urgent Care PC, a 395-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 4
- Trained at
- State University of New York at Stony Brook, School of Medicine
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
518 Montauk Hwy Ste 102Amagansett, NY 11930-2110
Phone: (631) 267-5373
Fax: (631) 267-5376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 010108 (NY) |
|---|
Record details
| NPI number | 1013121474 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RPA-C |
| Sole proprietor | No |
| NPI enumerated | May 9, 2007 |
| Last updated in NPPES | February 5, 2020 |
| Certification date | February 5, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduated | 2022 (4 years in practice) |
| Group practice | North Shore Lij Urgent Care Pc — 395 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Amagansett
-
Peter J Siefken, PA
518 Montauk Hwy Ste 102, Amagansett, NY 11930 · (631) 267-5373