Individual
DR. DOROTHY O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9 DOGWOOD HL, GLEN HEAD, NY 11545-3204
(516) 626-2429
Mailing address
9 DOGWOOD HL, GLEN HEAD, NY 11545-3204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
191702
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
191702
NY
207RP1001X
Pulmonary Disease Physician
191702
NY
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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