Dr EUGENE CONNOLLY is a male medical professional, specializing in Physician Assistant. He graduated in 2003 from State University Of New York At Stony Brook, School Of Medicine.
MEETING HOUSE LANE MEDICAL PRACTICE PC
325 MEETING HOUSE LN
SUITE 403
SOUTHAMPTON
NY
119687000
Tel: 6312832100
| Npi | 1013121474 |
| Pac Id | 4183946767 |
| Professional Enrollment Id | I20141210001127 |
| Last Name | CONNOLLY |
| First Name | EUGENE |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | MEETING HOUSE LANE MEDICAL PRACTICE PC |
| Group Practice Pac Id | 6800972589 |
| Number Of Group Practice Members | 88 |
| Line 1 Street Address | 325 MEETING HOUSE LN |
| Line 2 Street Address | SUITE 403 |
| Marker Of Address Line 2 Suppression | |
| City | SOUTHAMPTON |
| State | NY |
| Zip Code | 119687000 |
| Phone Number | 6312832100 |
| Hospital Affiliation Ccn 1 | 330393 |
| Hospital Affiliation Lbn 1 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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