Active NPI
Donna M. Conk, ED.D.
- Specialist
- Huntington, NY
National Provider Identifier
1003170044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 71 Preston St
Huntington, NY 11743-2054 - Phone
- (516) 971-1767
- NPI assigned
- Jun 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
71 Preston St
Huntington, NY 11743-2054
Mailing address
71 Preston St
Huntington, NY 11743-2054
Phone (516) 971-1767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1003170044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 PRESTON ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432054",
"telephone_number": "516-971-1767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 PRESTON ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432054",
"telephone_number": "516-971-1767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONK",
"first_name": "DONNA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.