Donovan, Carolyn

Donovan, Carolyn is an sole proprietor health care provider with primary practice located at 18 Ford Ave , Troy NY 12180-5802. She recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Donovan, Carolyn can be contacted via phone (518) 229-8386.

Contact Information

Primary practice address
18 Ford Ave Troy NY 12180-5802
Phone: (518) 229-8386
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X New York
Other Service Providers / Specialist 174400000X New York

Profile Details

NPI number 1255785739
LBN Legal business name Donovan, Carolyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2016
Last updated Apr 20th, 2021 - about 4 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 1255785739 NPPES
New York MEDICAID 0212

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