Provider Demographics
NPI:1568467694
Name:O'NEILL, JAMES E JR (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:O'NEILL
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 550
Mailing Address - Street 2:2 CATHERINE STREET JAMES O'NEILL, MD
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12602
Mailing Address - Country:US
Mailing Address - Phone:866-868-8418
Mailing Address - Fax:845-790-2675
Practice Address - Street 1:1980 CROMPOND ROAD
Practice Address - Street 2:HUDSON VALLEY HOSPITAL CENTER
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4179
Practice Address - Country:US
Practice Address - Phone:914-737-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-15
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY148731207L00000X
PA029912E207L00000X
NY148373207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00838326Medicaid
NY22D371OtherBLUE SHIELD
NY00838326Medicaid
NY22D371Medicare PIN