Healthcare Provider Details

I. General information

NPI: 1447278783
Provider Name (Legal Business Name): DONALD NORMAN SUMMERS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7606 7TH AVE
BROOKLYN NY
11209-3321
US

IV. Provider business mailing address

7606 7TH AVE
BROOKLYN NY
11209-3321
US

V. Phone/Fax

Practice location:
  • Phone: 718-238-2853
  • Fax: 718-921-3519
Mailing address:
  • Phone: 718-238-2853
  • Fax: 718-921-3519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number086738
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: