Mandart, Donna Marie

Mandart, Donna Marie is an sole proprietor health care provider with primary practice located at 42 Gina Ct , East Patchogue NY 11772-4265. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mandart, Donna Marie can be contacted via phone (631) 758-1936.

Contact Information

Primary practice address
42 Gina Ct East Patchogue NY 11772-4265
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 203296-1 New York

Profile Details

NPI number 1255526463
LBN Legal business name Mandart, Donna Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2007
Last updated Sep 11th, 2007 - about 17 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 1255526463 NPPES
New York MEDICAID 02860259

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