Individual
DONNA BRAUNAGEL-EBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
75 CRYSTAL RUN RD, SUITE 105, MIDDLETOWN, NY 10941-7000
(845) 692-3542
(845) 692-6939
Mailing address
75 CRYSTAL RUN RD, SUITE 105, MIDDLETOWN, NY 10941-7000
(845) 692-3542
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005859-1
NY
Other
Enumeration date
06/09/2006
Last updated
09/23/2011
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