Healthcare Provider Details

I. General information

NPI: 1093143018
Provider Name (Legal Business Name): DONNA ZECHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2013
Last Update Date: 10/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 S WOODS RD
WOODBURY NY
11566
US

IV. Provider business mailing address

900 MADISON PL
MERRICK NY
11566
US

V. Phone/Fax

Practice location:
  • Phone: 516-921-7650
  • Fax:
Mailing address:
  • Phone: 516-241-0635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: