Individual
DONNA SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 1ST AVE, 7B, NEW YORK, NY 10016-6402
(212) 263-0433
Mailing address
530 1ST AVE, 7B, NEW YORK, NY 10016-6402
(212) 263-0433
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
170889
NY
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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