Detura, Donna
Detura, Donna is an sole proprietor health care provider with primary practice located at 701 Route 25A , Rocky Point NY 11778-8894. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Detura, Donna can be contacted via phone (631) 379-3436.Contact Information
Primary practice address
701 Route 25A
Rocky Point NY 11778-8894
Phone: (631) 379-3436
Fax: (631) 345-3591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R051498-1 | New York |
Profile Details
| NPI number | 1740595743 |
|---|---|
| LBN Legal business name | Detura, Donna |
| Credentials | RLCSW, CASAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2010 |
| Last updated | Apr 20th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740595743 | NPPES |
| New York | MEDICAID | 4154436 | |
| New York | Other | A300133378 |
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