Individual
DONNA A. INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
177 EAST 87TH STREET, SUITE 507, NEW YORK, NY 10128
(212) 828-3200
(212) 828-3240
Mailing address
177 EAST 87TH STREET, SUITE 507, NEW YORK, NY 10128
(212) 828-3200
(212) 828-3240
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
189818
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1390967
UNITED HEALTHCARE
—
01
—
16978P
HIP
—
01
—
2355798
AETNA HMO
—
01
—
33J332
EMPIRE BC/BS
—
01
—
3C0361
HEALTHNET
—
01
—
4675205
AETNA PPR
—
01
—
6744523-007
CIGNA
—
01
—
P2480126
OXFORD
—
Enumeration date
07/28/2006
Last updated
09/10/2012
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