Krysta C Donnelly

NPI #1487227732 in Islip Terrace, New York

Provider Information

NPI Number: 1487227732
Entity Type: Individual
Name: Krysta C Donnelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jul 22, 2021
Last Updated: Jul 22, 2021

Practice Location

Address: 1 CRAIG B GARIEPY AVE
City: Islip Terrace
State: New York
ZIP Code: 11752-2820
Phone: (631) 650-6545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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