Most Relevant Information
Provider Data
| NPI Number: | 1003409038 |
| Provider Name: | DONOVAN GEORGE CAMERON PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | F403403 |
Most Important Dates
| Enumeration Date: | 02/20/2021 |
| Last Updated: | 02/20/2021 |
Provider Practice Location
1577 REMSEN AVE
BROOKLYN
NY
112365213
Practice Location Phone/Fax
| Phone: | 9293279117 |
| Fax: |
Provider Mailing Location
1577 REMSEN AVE
BROOKLYN
NY
112365213
Provider Mailing Phone/Fax
| Phone: | 9293279117 |
| Fax: |