Individual
DR. ANDREW MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15916 UNION TPKE, FRESH MEADOWS, NY 11366-1954
(718) 275-1010
Mailing address
15916 UNION TPKE, FRESH MEADOWS, NY 11366-1954
(718) 275-1010
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
170764
NY
2085R0202X
Diagnostic Radiology Physician
35.083869
OH
2085R0202X
Diagnostic Radiology Physician
M-2214
GU
2085R0202X
Diagnostic Radiology Physician
MD420326
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01318092
—
NY
05
—
2759671
—
OH
05
—
3810007239
—
WV
01
—
P00359299
RAILROAD MC
OH
01
—
P003722227
RAILROAD MC
WV
Enumeration date
03/29/2006
Last updated
05/11/2023
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