Individual
DR. ROBERT BRUCE DONADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6967 108TH STREET, FOREST HILLS, NY 11375-3846
(718) 268-4938
(718) 268-2963
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7889
(631) 454-4161
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
1514821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01151266
—
NY
Enumeration date
09/11/2006
Last updated
01/17/2013
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