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NPI Code Detail

MEDICARE: DONALD MONACO PH.D.

MEDICARE: DONALD MONACO PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC1900XCounseling Psychologist004437NY

General Provider Information

NPI Number : 1396790556
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD MONACO PH.D.
Provider Business Mailing Address
First Line : 1 OLD COUNTRY RD
Second Line : SUITE 271
City : CARLE PLACE
State : NY
Zip : 11514-1801
Country : US
Telephone Number : 800-725-6280
Fax Number : 800-725-6380
Provider Business Practice Location Address
First Line : 134 GREAT EAST NECK RD
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-8027
Country : US
Telephone Number : 631-422-4800
Fax Number : 631-422-6484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 07/08/2007

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