| Anthony N. Donatelli Jr MD., PC | |
|
100 Hospital Rd Suite 200 East Patchogue NY 11772-8809 | |
| (631) 730-0406 | |
| Not Available |
| Full Name | Anthony N. Donatelli Jr MD., PC |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Hospital Rd, East Patchogue, New York |
| Authorized Official Name and Position | Anthony N Donatelli (PHYSICIAN) |
| Authorized Official Contact | 6317300406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony N. Donatelli Jr MD., PC Po Box 406 Brookhaven NY 11719-0406 Ph: (631) 730-0406 | Anthony N. Donatelli Jr MD., PC 100 Hospital Rd Suite 200 East Patchogue NY 11772-8809 Ph: (631) 730-0406 |
| NPI Number | 1396067591 |
|---|---|
| Provider Enumeration Date | 02/16/2010 |
| Last Update Date | 02/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396067591 | NPI | - | NPPES |
| 167827 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 167827 (New York) | Primary |
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