Individual
JENNIFER MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST PH 5133, NEW YORK, NY 10032-3720
(212) 305-3226
Mailing address
622 W 168TH ST PH 5133, NEW YORK, NY 10032-3720
(212) 305-3226
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
271681
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
271681
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2009
Last updated
05/28/2020
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