Individual
ALEXANDRA HAILEY DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
101 NICOLLS ROAD, HSC LEVEL 4, 050, STONY BROOK, NY 11794
(631) 444-3880
(631) 444-3919
Mailing address
101 NICOLLS ROAD, HSC LEVEL 4, 050, STONY BROOK, NY 11794
(631) 444-3880
(631) 444-3919
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
328616
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2021
Last updated
09/24/2024
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