Individual
MR. RICHARD BERNARD DONEGAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
82B POND WAY, STATEN ISLAND, NY 10303-1649
(347) 322-7249
Mailing address
82B POND WAY, STATEN ISLAND, NY 10303-1649
(347) 322-7249
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028272
NY
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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