Nia Alyssa Donawa
Individual provider Active NPI Child Intellectual and/or Developmental Disabilities Respite Care · Deer Park, NY
NPI 1891243093 · NPPES record last updated Sep 15, 2016
Key facts
- NPI
- 1891243093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
- Practice address
- 39 Sammis Ave
Deer Park, NY 11729-6717 - Phone
- (631) 897-0020
- NPI assigned
- Sep 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Yes |
Addresses
Primary practice location
39 Sammis Ave
Deer Park, NY 11729-6717
Mailing address
39 Sammis Ave
Deer Park, NY 11729-6717
Phone (631) 897-0020
Other providers in Deer Park, NY
- Kristen Noel Dileo
- Francine Pierna Dimaria
- Maricris G Diola
- Joann Doherty
- Dolce Billing and Corporate Services, Inc.
- Nicole Jeanne Dorvilier
- Athina Doulaveris
- Mary Alice Dowling
- DP PT & Chiropractic, PLLC
- Dr Ulysses Jackson Licensed Mental Health Counseling PLLC
All providers in Deer Park, NY · Child Intellectual and/or Developmental Disabilities Respite Care in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.