Individual
MR. BRIAN B O'DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
45 ASHLEY AVE, MIDDLETOWN, NY 10940-1912
(845) 326-8059
Mailing address
21 WATER STREET, WURTSBORO, NY 12790-0465
(845) 313-4503
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
476883
NY
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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