Healthcare Provider Details

I. General information

NPI: 1336086008
Provider Name (Legal Business Name): ELISHEVA DONATH MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4813 9TH AVE FL 4
BROOKLYN NY
11220-2484
US

IV. Provider business mailing address

250 WEST 99TH STREET PHS
NEW YORK NY
10025
US

V. Phone/Fax

Practice location:
  • Phone: 718-283-8974
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: