| Virginia M Donovan, MD | |
| 222 Station Plz N, Suite 606, Mineola, NY 11501-3808 | |
| (516) 663-2468 | |
| (516) 663-8824 | 
| Full Name | Virginia M Donovan | 
|---|---|
| Gender | Female | 
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology | 
| Location | 222 Station Plz N, Mineola, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1982666368 | NPI | - | NPPES | 
| 02335353 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 165725 (New York) | Primary | 
| Entity Name | North Shore-lij Medical Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Virginia M Donovan, MD 222 Station Plz N, Suite 606, Mineola, NY 11501-3808 Ph: (516) 663-2468 | Virginia M Donovan, MD 222 Station Plz N, Suite 606, Mineola, NY 11501-3808 Ph: (516) 663-2468 | 
| Dr. Xiaoling Xiong,  Pathology Medicare: Medicare Enrolled Practice Location: 222 Station Plz N, 222 Station Piaza N - Ste 620, Mineola, NY 11501 Phone: 516-663-4560 Fax: 516-663-4581 | |
| Andrea S. Flieder, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 222 Station Plz N, Suite 606, Mineola, NY 11501 Phone: 516-663-2468 Fax: 516-663-8824 | |
| Jane Date Hon,  Pathology Medicare: Accepting Medicare Assignments Practice Location: 222 Station Plz N Ste 618, Mineola, NY 11501 Phone: 516-663-2166 | |
| Elena Selbs, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 222 Station Plz N, Suite 606, Mineola, NY 11501 Phone: 516-663-2468 Fax: 516-663-8824 | |
| Jianhong Zhou, MD Pathology Medicare: May Accept Medicare Assignments Practice Location: 222 Station Plz N, Suite 606, Mineola, NY 11501 Phone: 516-663-2468 Fax: 516-663-8824 | |
| Derek Jones, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 222 Station Plz N Ste 618, Mineola, NY 11501 Phone: 516-663-8524 | |
| Jordan Baum, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 222 Station Plz N Ste 618, Mineola, NY 11501 Phone: 317-523-0841 |