Individual
DR. SUSAN DONELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
205 N BELLE MEAD RD, STONY BROOK, NY 11794
(631) 444-1660
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
(631) 444-1660
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
177763
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01344178
—
NY
01
—
37K50
EMPIRE BC.BS
NY
01
—
5856056
AETNA
NY
Enumeration date
07/12/2006
Last updated
07/08/2007
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