Healthcare Provider Details

I. General information

NPI: 1699051953
Provider Name (Legal Business Name): KARA LYNN DONATO P.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2011
Last Update Date: 02/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 PRESIDENTIAL PLZ 4TH FLOOR
SYRACUSE NY
13202-2240
US

IV. Provider business mailing address

2209 GENESEE ST. BUSINESS OFFICE
UTICA NY
13501-5930
US

V. Phone/Fax

Practice location:
  • Phone: 315-464-4243
  • Fax: 315-464-5350
Mailing address:
  • Phone: 315-801-3282
  • Fax: 315-801-8391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberF381726-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: