Individual
LISA DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
208 W 13TH ST, NEW YORK, NY 10011-7702
(212) 620-7310
Mailing address
3333 BROADWAY, C27K, NEW YORK, NY 10031-8726
(516) 503-1321
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
285515
NY
Other
Enumeration date
05/02/2008
Last updated
03/09/2025
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