Boehm, Donna Lee

Boehm, Donna Lee is an individual health care provider with primary practice located at 1320 Stony Brook Rd Ste 100 , Stony Brook NY 11790-2222. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Boehm, Donna Lee can be contacted via phone (631) 941-2273.

Contact Information

Primary practice address
1320 Stony Brook Rd Ste 100 Stony Brook NY 11790-2222
Phone: (631) 941-2273
Fax: (631) 941-2501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F303323-01 New York

Profile Details

NPI number 1255523973
LBN Legal business name Boehm, Donna Lee
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2007
Last updated Dec 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255523973 NPPES
New York MEDICAID 05459889

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