Provider Demographics
NPI:1689317307
Name:DONOVAN, FRANKIE (DC)
Entity type:Individual
Prefix:
First Name:FRANKIE
Middle Name:
Last Name:DONOVAN
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 SCHAD RD
Mailing Address - Street 2:
Mailing Address - City:ALDEN
Mailing Address - State:NY
Mailing Address - Zip Code:14004-9210
Mailing Address - Country:US
Mailing Address - Phone:609-464-4317
Mailing Address - Fax:
Practice Address - Street 1:13219 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:ALDEN
Practice Address - State:NY
Practice Address - Zip Code:14004-1378
Practice Address - Country:US
Practice Address - Phone:716-589-4865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-20
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor