Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 238384 | NY |
NPI | 1245308303 |
---|---|
Provider Name | Dr. John E. Donati |
First Address | Brooklyn, NY 11204-4802 |
Second Address | Brooklyn, NY 11204-4802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 15/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02944443 | (05) | NY |
238384 | NYS LICENSE (01) |