Healthcare Provider Details

I. General information

NPI: 1962588723
Provider Name (Legal Business Name): DONAIRE H HOWARD RN FNP BS MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DONAIRE SPENCER BROOKS

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 04/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MANOR RD PROFESSIONAL SUITES 2V
STATEN ISLAND NY
10314-7016
US

IV. Provider business mailing address

PO BOX 0891 800 MANOR RD 2V PROFESSIONAL SUITES KABBALAH VISITING N
STATEN ISLAND NY
10314-0891
US

V. Phone/Fax

Practice location:
  • Phone: 347-613-7836
  • Fax: 718-761-5562
Mailing address:
  • Phone: 718-720-0292
  • Fax: 718-761-5562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number3021991
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number3021991
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW992133
License Number StateZZ
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP9921301
License Number StateZZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: