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Individual

JOSEPH DONATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
360 CENTRAL AVENUE, SUITE 113, LAWRENCE, NY 11559
(516) 569-6966
(516) 569-4026
Mailing address
360 CENTRAL AVENUE, SUITE 113, LAWRENCE, NY 11559
(516) 569-6966
(516) 569-4026

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
141514
NY
207RP1001X
Pulmonary Disease Physician
Primary
141514-0
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00701675
NY
Enumeration date
10/03/2006
Last updated
07/08/2009
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