Individual
DONALD NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
91 CHENANGO BRIDGE RD, BINGHAMTON, NY 13901-1293
(607) 648-4151
(607) 648-7138
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-2209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
143625
NY
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
143625
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00710581
—
NY
Enumeration date
08/02/2005
Last updated
04/29/2016
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