Healthcare Provider Details

I. General information

NPI: 1932311644
Provider Name (Legal Business Name): MRS. DONNA MARIE HLENSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. DONNA MARIE CAIN-HLENSKI

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 RICHARD LN
HUNTINGTON NY
11743-2354
US

IV. Provider business mailing address

4 RICHARD LN
HUNTINGTON NY
11743-2354
US

V. Phone/Fax

Practice location:
  • Phone: 631-423-1733
  • Fax:
Mailing address:
  • Phone: 631-423-1733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number071730-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: