Individual
DR. JONATHAN L. DONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC PC
Contact information
Practice address
6605 PITTSFORD PALMYRA RD, SUITE E9, FAIRPORT, NY 14450-3407
(585) 223-1580
Mailing address
6605 PITTSFORD PALMYRA RD, SUITE E9, FAIRPORT, NY 14450-3407
(585) 223-1580
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X08805
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X08805
NYS LISENCE
NY
Enumeration date
02/20/2006
Last updated
12/23/2011
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