Provider Demographics
NPI:1285922740
Name:MACDONALD, ROSS F (MD)
Entity type:Individual
Prefix:DR
First Name:ROSS
Middle Name:F
Last Name:MACDONALD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:121 W 75TH ST
Mailing Address - Street 2:APT. 5B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-1826
Mailing Address - Country:US
Mailing Address - Phone:917-539-0780
Mailing Address - Fax:718-579-2599
Practice Address - Street 1:55 WATER ST
Practice Address - Street 2:18TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10041-0004
Practice Address - Country:US
Practice Address - Phone:347-774-7153
Practice Address - Fax:347-774-8164
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-19
Last Update Date:2016-07-24
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Provider Licenses
StateLicense IDTaxonomies
NY261317207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine