Healthcare Provider Details

I. General information

NPI: 1295215598
Provider Name (Legal Business Name): PATRICIA DONAWA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2018
Last Update Date: 08/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N VILLAGE AVE
ROCKVILLE CENTRE NY
11570-1000
US

IV. Provider business mailing address

700 PARTRIDGE AVE
WEST HEMPSTEAD NY
11552-3808
US

V. Phone/Fax

Practice location:
  • Phone: 516-705-2736
  • Fax:
Mailing address:
  • Phone: 516-669-4168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number5615321
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: