Fodera, Donna

Fodera, Donna is an sole proprietor health care provider with primary practice located at 22 Viking Dr , West Islip NY 11795-5046. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fodera, Donna can be contacted via phone (631) 661-5737.

Contact Information

Primary practice address
22 Viking Dr West Islip NY 11795-5046
Phone: (631) 661-5737
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1932359965
LBN Legal business name Fodera, Donna
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2008
Last updated Nov 20th, 2014 - about 10 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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