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NPI Code Detail

MEDICARE: DR. JOHN E. DONATI M.D.

MEDICARE:  DR. JOHN E. DONATI  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080A0000XPediatric Adolescent Medicine Physician238384NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1238384OTHERNYS LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245308303
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN E. DONATI M.D.
Provider Business Mailing Address
First Line : 1407 W 6TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-4802
Country : US
Telephone Number : 718-256-1057
Fax Number : 718-256-4912
Provider Business Practice Location Address
First Line : 1407 W 6TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-4802
Country : US
Telephone Number : 718-256-1057
Fax Number : 718-256-4912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 09/15/2016

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Directions to “ DR. JOHN E. DONATI M.D.” Practice Location

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