Individual
CASEY M DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1283 YORK AVE, NEW YORK, NY 10065
(212) 746-5454
Mailing address
275 MOUNT CARMEL AVE, HAMDEN, CT 06518-1908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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