MEDICARE: DR. ROSEMARIE DI DONATO MD

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
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	S7635	TX

General Provider Information

NPI Number	:	1982098166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSEMARIE DI DONATO MD

Provider Business Mailing Address
First Line	:	111 E 210TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-2401
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 W BELLFORT AVE STE 130
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-5099
Country	:	US
Telephone Number	:	713-798-6346
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2015
Last Update Date	:	03/11/2021

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