Individual
DR. JUSTIN DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(631) 804-8897
Mailing address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
R97204
NY
Other
Enumeration date
06/11/2015
Last updated
06/14/2015
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