Individual
PETER DONATICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(516) 476-2343
Mailing address
46 SCHENCK AVE, APT 3M, GREAT NECK, NY 11021-3642
(516) 476-2343
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
643489
NY
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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