Jack L. Donaldson
Jack L. Donaldson is a Physician Assistant in Camillus, New York. Qualified in 2025, 1 year ago. Practices with St Josephs Medical PC, a 385-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 1
- Licensed in
- NY
- In the registry since
- 2024
Practice location Address checks out
4997 Stagecoach RdCamillus, NY 13031-9774
Phone: (315) 744-0861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (NY) |
|---|
Record details
| NPI number | 1346000379 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 19, 2024 |
| Last updated in NPPES | March 19, 2024 |
| Certification date | March 19, 2024 |
| Mailing address | 4997 Stagecoach Rd, Camillus, NY 13031-9774 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | St Josephs Medical Pc — 385 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Camillus
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Konstantinos Christos Hantzidiamantis, MD
260 Township Blvd Ste 20, Camillus, NY 13031-1678 · (315) 708-0190
-
Sarah Lynn Quick, MS, RDN
5100 W Genesee St, Camillus, NY 13031-2354 · (315) 401-0590