Individual
AMY DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
353 SARATOGA RD, GLENVILLE, NY 12302-5117
(518) 399-3810
Mailing address
PO BOX 2518, GLENVILLE, NY 12325-0518
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012475
NY
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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