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NPI Code Detail

MEDICARE: MRS. DONNA DEBENEDETTO-DANIEL RN

MEDICARE: MRS. DONNA DEBENEDETTO-DANIEL RN
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
1163WS0200XSchool Registered Nurse479218NY

General Provider Information

NPI Number : 1750656054
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DONNA DEBENEDETTO-DANIEL RN
Provider Business Mailing Address
First Line : 51 SAINT EDWARDS ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-2932
Country : US
Telephone Number : 718-855-7254
Fax Number :
Provider Business Practice Location Address
First Line : 51 SAINT EDWARDS ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-2932
Country : US
Telephone Number : 718-855-7254
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2012
Last Update Date : 03/20/2012

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