Individual
MS. NICOLE DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED
Contact information
Practice address
55 LLOYD RD, MORGANVILLE, NJ 07751
(718) 812-9745
Mailing address
55 LLOYD RD, MORGANVILLE, NJ 07751
(718) 812-9745
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2670481
NY
Other
Enumeration date
03/01/2017
Last updated
11/12/2020
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