Organization
DR DONNA LOKETCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BRAUN (ADMINISTRATIVE MANAGER)
(718) 309-3321
Entity
Organization
Contact information
Practice address
11 MEDICAL PARK DR, STE 100, POMONA, NY 10970-3559
(914) 588-1035
Mailing address
11 MEDICAL PARK DR, STE 100, POMONA, NY 10970-3559
(914) 588-1035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
241048
NY
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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