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Individual

LUKE DONNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
450 CLARKSON AVE, BOX 1228, BROOKLYN, NY 11203-2012
(718) 245-3320
Mailing address
419 SICOMAC AVE, WYCKOFF, NJ 07481-1716

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19061
HI
207P00000X
Emergency Medicine Physician
Primary
285858
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/27/2013
Last updated
10/07/2022
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