Individual
DONNA M HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
562 1ST AVENUE, NEW YORK, NY 10016
(212) 562-3776
Mailing address
485 ARMSTRONG AVE, APARTMENT #A-1, STATEN ISLAND, NY 10308-2358
(718) 948-7771
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008251
NY
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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