Individual
JACQUELINE DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 NORTHERN BLVD, LONG ISLAND CITY, NY 11101-2221
(646) 847-6883
Mailing address
3300 NORTHERN BLVD, LONG ISLAND CITY, NY 11101-2221
(646) 847-6883
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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