Most Relevant Information
Provider Data
| NPI Number: | 1003178351 |
| Provider Name: | EMILY JO DONNELLS MSED. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 905137 |
Most Important Dates
| Enumeration Date: | 06/12/2012 |
| Last Updated: | 06/12/2012 |
Provider Practice Location
623 NEW LOUDON RD
LATHAM
NY
121104031
Practice Location Phone/Fax
| Phone: | 5187821178 |
| Fax: |
Provider Mailing Location
2106 RIVER VIEW RD
GREEN ISLAND
NY
121831141
Provider Mailing Phone/Fax
| Phone: | 3153355159 |
| Fax: |