Active NPIIndividual provider

Laura R Connor, PA

Physician Assistant in Van Etten, New York

NPI Number1366875064
Practice location
86 Main St, Van Etten, NY 14889-9716
Fax
—
Last updated
September 24, 2026

Laura R Connor is a Physician Assistant based in Van Etten, NY. Laura R Connor practices in Van Etten, NY and has the professional credentials of PA. The NPI Number for Laura R Connor is 1366875064 and holds a License No. 016965 (NY). The current practice location address for Laura R Connor is 86 Main St, Van Etten, NY 14889-9716 and can be reached out via phone at 607-589-7546.

Provider Profile Details

NPI Number
1366875064
Provider Name
Laura R Connor
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
86 Main St, Van Etten, NY 14889-9716
Phone Number
607-589-7546
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 16, 2013
Last Update Date
September 24, 2026
Certification Date
September 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
86 Main St
Van Etten, NY 14889-9716
Zip
14889-9716
Phone Number
607-589-7546
Van Etten, NY 14889Get directions →

Provider Business Mailing Address Details

Address
86 Main St
Van Etten, NY 14889-9716
City
Van Etten
State
NY
Zip
14889-9716
Phone Number
607-589-7546

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
016965
License State (2)
NY
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Laura R Connor, PA?

The NPI number of Laura R Connor, PA is 1366875064. It was assigned on August 16, 2013 and is currently active in the NPPES registry.

What is the specialty of Laura R Connor, PA?

Laura R Connor, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 016965.

Where does Laura R Connor, PA practice?

The practice location is 86 Main St, Van Etten, NY 14889-9716. The office can be reached at 607-589-7546 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366875064 directly on the NPPES registry website.

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