Doctor Name: | MRS. DONNA D TRAST |
NPI Number: | 1093908162 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN, CDE, CPT |
License Number: | 300766-1 |
Business Practice Address: | 124 Gina Ct Hurley, NY - 124435912 |
Business Phone Number: | 8453385154 |
Business Fax Number: | |
Mailing Address: | 124 Gina Ct, HURLEY |
State: | NY |
Postal Code: | 124435912 |
Phone Number: | 8453385154 |
Fax Number: | |
NPI Enumeration Date: | 08/22/2007 |
NPI Last Update Date: | 08/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC3500X |
License Number: | 300766-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Cardiac Rehabilitation |
Taxonomy Definition: |