Individual
STEPHEN DONOHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 E 161ST ST, BRONX, NY 10451-2100
(718) 579-4583
Mailing address
ONE EAST 161ST STREET, YANKEE STADIUM, BRONX, NY 10451
(718) 579-4583
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000522
NY
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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