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
Phone: (631) 758-1936
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255526463 | NPPES |
| New York | MEDICAID | 02860259 |
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