Donald, Dionne Hazel Magdelene

Donald, Dionne Hazel Magdelene is an sole proprietor health care provider with primary practice located at 240 Meeting House Ln , Southampton NY 11968-5009. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Donald, Dionne Hazel Magdelene can be contacted via phone (631) 726-8200.

Contact Information

Primary practice address
240 Meeting House Ln Southampton NY 11968-5009
Phone: (631) 726-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 272066-1 New York

Profile Details

NPI number 1326351933
LBN Legal business name Donald, Dionne Hazel Magdelene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2010
Last updated Aug 5th, 2019 - about 5 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 1326351933 NPPES
Other #39 #39

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