Individual
DR. MICHAEL J. DONATO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
199 CLARKE AVE, STATEN ISLAND, NY 10306-1115
(718) 987-7688
(718) 987-7695
Mailing address
5 WENDOVER RD, EDISON, NJ 08820-3660
(732) 906-8034
(718) 987-7695
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
043461
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01564850
—
NY
Enumeration date
02/13/2006
Last updated
07/08/2007
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