Donnelly, Debra Ann

Donnelly, Debra Ann is an individual health care provider with primary practice located at 12 Roberta Ave , Farmingville NY 11738-1457. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Donnelly, Debra Ann can be contacted via phone (631) 732-7998.

Contact Information

Primary practice address
12 Roberta Ave Farmingville NY 11738-1457
Phone: (631) 732-7998
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 389198-1 New York

Profile Details

NPI number 1518100536
LBN Legal business name Donnelly, Debra Ann
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2009
Last updated Apr 7th, 2009 - about 16 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 1518100536 NPPES
New York MEDICAID 389198-1

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