Individual
BETH L DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
7468 SOUTH BROADWAY, RED HOOK, NY 12571
(845) 758-3585
Mailing address
11 ELM STREET, RED HOOK, NY 12571
(845) 758-3585
(845) 758-3585
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X-005726-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
911944
MANAGED PHYSICAL NETWORK
NY
01
—
CO5726
WORKERS COMP
NY
Enumeration date
09/12/2006
Last updated
07/08/2007
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