Organization Name: | RICHARD S. DONELA |
NPI Number: | 1053595496 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD S DONELA (PHYSICIAN/OWNER) |
Mailing Address: | Adirondack Medical Center 29 Church St. Lake Placid |
State: | NY US |
Postal Code: | 12946 |
Phone Number: | 5185238345 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2007 |
NPI Last Update Date: | 12/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 2533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |