GLENN DONATELLI

SAYVILLE, NY
NPI1588372296
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  310883)
Enumeration Date2022-11-10
Last Update Date2022-12-15
Business Address
GLENN DONATELLI
43 BROADWAY AVE
SAYVILLE, NY 11782-1601
Phone number: 631-398-8568
Mailing Address
GLENN DONATELLI
43 BROADWAY AVE
SAYVILLE, NY 11782-1601
Phone number: