Individual
JENNIFER L DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
152 UPPER SHERMAN AVE, QUEENSBURY, NY 12804-2746
(518) 761-0300
(518) 824-2390
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
270181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03699290
—
NY
Enumeration date
04/05/2010
Last updated
03/13/2026
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