Individual
MR. MARK DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., MS
Contact information
Practice address
177 CONKLIN ST, FARMINGDALE, NY 11735-2501
(516) 249-3236
(516) 249-8514
Mailing address
13 CIRCLE LN, LEVITTOWN, NY 11756-2703
(516) 735-1699
(516) 249-8514
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001633-1
NY
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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