Individual
DR. DIANE MARIE MACDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
461 GLEN ST, GLENS FALLS, NY 12801-2906
(518) 745-5889
(518) 745-0010
Mailing address
461 GLEN ST, GLENS FALLS, NY 12801-2906
(518) 745-5889
(518) 745-0010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
172673-1
NY
Other
Enumeration date
11/14/2005
Last updated
07/08/2007
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