Individual
DENA LYNN MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4872
(646) 797-8880
(646) 797-8966
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4872
(646) 797-8880
(646) 797-8966
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
007168
NY
Other
Enumeration date
09/19/2007
Last updated
06/13/2008
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