Individual
DR. ANNA DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
590 AVENUE OF THE AMERICAS, MEDICAL OFFICE 1ST FLOOR, NEW YORK, NY 10011-2019
(212) 886-4097
(212) 206-4161
Mailing address
7906 35TH AVE APT 4N, JACKSON HEIGHTS, NY 11372-2720
(718) 205-5012
(718) 205-5012
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
240794
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240794
MEDICAL LICENSE
NY
Enumeration date
02/21/2007
Last updated
02/17/2009
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