Individual
IAN J MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
8431 VAN WYCK EXPY APT 3D, BRIARWOOD, NY 11435-2610
(347) 776-8559
Mailing address
8431 VAN WYCK EXPY APT 3D, BRIARWOOD, NY 11435-2610
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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