Most Relevant Information
Provider Data
| NPI Number: | 1003204058 |
| Provider Name: | STEPHANIE DONEY |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 799476131 |
Most Important Dates
| Enumeration Date: | 12/29/2014 |
| Last Updated: | 12/29/2014 |
Provider Practice Location
21638 REED RD
WATERTOWN
NY
136015048
Practice Location Phone/Fax
| Phone: | 3157860677 |
| Fax: | 3158363782 |
Provider Mailing Location
21638 REED RD
WATERTOWN
NY
136015048
Provider Mailing Phone/Fax
| Phone: | 3157860677 |
| Fax: | 3158363782 |