Provider Demographics
NPI:1093747461
Name:DONATO, KEITH (DC)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:
Last Name:DONATO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:324 BALLSTON AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-4782
Mailing Address - Country:US
Mailing Address - Phone:518-538-8200
Mailing Address - Fax:518-584-8774
Practice Address - Street 1:70 RAILROAD PL
Practice Address - Street 2:SUITE 101A
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-2192
Practice Address - Country:US
Practice Address - Phone:518-580-1233
Practice Address - Fax:518-580-1344
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYXO11186111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor