Donohue, Stephen George

Donohue, Stephen George is an individual health care provider with primary practice located at 186 Smith Rd , Lake Ronkonkoma NY 11779-2212. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Donohue, Stephen George can be contacted via phone (631) 258-0165.

Contact Information

Primary practice address
186 Smith Rd Lake Ronkonkoma NY 11779-2212
Phone: (631) 258-0165
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 503326-1 New York

Profile Details

NPI number 1013179720
LBN Legal business name Donohue, Stephen George
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated Jun 25th, 2008 - 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 1013179720 NPPES
New York MEDICAID 503326-1

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