Individual
DR. DONNA O. DONOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 HORSEBLOCK RD STE H, FARMINGVILLE, NY 11738-1252
(631) 233-9490
(631) 233-9499
Mailing address
400 HORSEBLOCK RD STE H, FARMINGVILLE, NY 11738-1252
(631) 233-9490
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
208590
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02144392
—
NY
Enumeration date
06/10/2006
Last updated
07/31/2024
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