National Provider Identifier
Paul Thomas Donnelly, M.D.
Paul Thomas Donnelly, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Watkins Glen, NY and a listed phone number of (607) 535-7873.
Profile Overview
- NPI
- 1386672368
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- June 29, 2006
- Last Updated
- June 10, 2016
Practice Location
- 104 S Porter St
- Watkins Glen, NY 14891-1622
Phone: (607) 535-7873
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1386672368
- Entity Type
- Individual
- Last Name
- Donnelly
- First Name
- Paul
- Middle Name
- Thomas
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 104 S Porter St
- Practice City
- Watkins Glen
- Practice State
- NY
- Practice ZIP Code
- 14891-1622
- Practice Country
- US
- Practice Phone
- (607) 535-7873
- Practice Fax
- (607) 535-7469
- Enumeration Date
- June 29, 2006
- Last Updated
- June 10, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 080194958 (Rr Medicare), 01037172 (NY)