Individual
MS. KATHALEEN FRANCES DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
18 MAIN ST, STONY BROOK, NY 11790-1912
(516) 607-9111
Mailing address
18 MAIN ST, STONY BROOK, NY 11790-1912
(516) 607-9111
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
302481-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302481-1
NP LICENSE
NY
Enumeration date
03/20/2009
Last updated
04/11/2017
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