Mr Richard Bernard Donegan Jr, | |
82b Pond Way, Staten Island, NY 10303-1649 | |
(347) 322-7249 | |
Not Available |
Full Name | Mr Richard Bernard Donegan Jr |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 82b Pond Way, Staten Island, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427706365 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 028272 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Richard Bernard Donegan Jr, 82b Pond Way, Staten Island, NY 10303-1649 Ph: (347) 322-7249 | Mr Richard Bernard Donegan Jr, 82b Pond Way, Staten Island, NY 10303-1649 Ph: (347) 322-7249 |
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