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Individual

DR. JEFFREY FRANKLYN DONIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M

Contact information

Practice address
180 E HARTSDALE AVE, HARTSDALE, NY 10530-3544
(914) 725-2010
(914) 725-6488
Mailing address
PO BOX 28064, NEW YORK, NY 10087-8064
(914) 593-7880
(914) 593-7881

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
002361
NY
213ES0131X
Foot Surgery Podiatrist
002361
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00416500
NY
01
A100000178
PTAN
NY
01
A400028366
MEDICARE PTAN
NY
Enumeration date
12/14/2005
Last updated
10/22/2015
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