Donovan King PA

NPI 1659578524 - Physician Assistant - 363A00000X

NPI Details
NPI 1659578524
Gender Male
Enumeration Date 07/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
8900 VAN WYCK EXPY
EMERGENCY DEPARTMENT
JAMAICA NY, 11418-2897, US
Phone (718) 206-6058
Fax (718) 206-6085
Business Location
80 MARCUS DR
PROVIDER ENROLLMENT DEPARTMENT
MELVILLE NY, 11747-4230, US
Phone (631) 391-7889
Fax (631) 454-4163
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 011682
Remove 1659578524 NPI Number
 

According to our database, Donovan King PA NPI is 1659578524, taxonomy code is 363A00000X and license number is 011682, license state is located at New York. Donovan King PA physically located at 8900 Van Wyck Expy, Jamaica NY, 11418-2897. NPI Number Donovan King PA has the Individual type.

Sponsored links

1659578524 NPI number is provided on an as is basis without warranty of any kind. 1659578524 is maintained by the National Plan & Provider Enumeration System. The contents of Donovan King PA are for informational purposes only.