Deborah Ellen McDonald

Individual provider Active NPI Licensed Vocational Nurse · Colonie, NY

NPI 1952138299 · NPPES record last updated Sep 19, 2024

Key facts

NPI
1952138299
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
274828-01 (NY)
Practice address
159 Wolf Rd
Colonie, NY 12205-6007
Phone
(518) 437-0152
NPI assigned
Sep 19, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
274828-01NYMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 274828-01 NY Yes

Addresses

Primary practice location

159 Wolf Rd
Colonie, NY 12205-6007

Mailing address

1 Riverview Rd
Halfmoon, NY 12065-6808
Phone (914) 424-9285

Other practice location 1

1 Riverview Rd
Halfmoon, NY 12065-6808
Phone (914) 424-9285

Other providers in Colonie, NY

All providers in Colonie, NY · Licensed Vocational Nurse in New York

Sources for this page

Verify at the official NPI Registry.