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NPI Code Detail

MEDICARE: DONI MASSEY PA

MEDICARE:   DONI  MASSEY  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant005906NY

General Provider Information

NPI Number : 1295810596
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONI MASSEY PA
Provider Business Mailing Address
First Line : 14616 LINDEN BLVD
Second Line :
City : JAMAICA
State : NY
Zip : 11436-1124
Country : US
Telephone Number : 718-920-2966
Fax Number : 718-653-1587
Provider Business Practice Location Address
First Line : 3 DELAWARE DR STE 205
Second Line :
City : NEW HYDE PARK
State : NY
Zip : 11042-1116
Country : US
Telephone Number : 516-622-6088
Fax Number : 516-622-6082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 07/21/2022

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Directions to “ DONI MASSEY PA” Practice Location

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