Individual
MARY KATHRYN DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
625 DELAWARE AVE STE 204, BUFFALO, NY 14202-1007
(716) 882-3151
(716) 886-4002
Mailing address
255 DELAWARE AVE STE 300, BUFFALO, NY 14202-2017
(716) 842-0440
(716) 842-4069
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
731782
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731782
LICENSE
NY
Enumeration date
05/31/2017
Last updated
03/17/2018
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