Donzis, Tracie Dawn

Donzis, Tracie Dawn is an sole proprietor health care provider with primary practice located at 110 Ash Dr , Roslyn NY 11576-2208. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Donzis, Tracie Dawn can be contacted via phone (516) 996-9618.

Contact Information

Primary practice address
110 Ash Dr Roslyn NY 11576-2208
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 019167-1 New York

Profile Details

NPI number 1528379963
LBN Legal business name Donzis, Tracie Dawn
Credentials MA, CCC, SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2010
Last updated Jan 18th, 2017 - about 8 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 1528379963 NPPES
New York MEDICAID 03833130

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