Doctor Name: | DONNA DAVINO |
NPI Number: | 1336217595 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NPP |
License Number: | F4003211 |
Business Practice Address: | 800 Cross River Rd Katonah, NY - 10536 |
Business Phone Number: | 9147638151 |
Business Fax Number: | 9147633906 |
Mailing Address: | 25 Kitchawan Rd, POUND RIDGE |
State: | NY |
Postal Code: | 10576 |
Phone Number: | 9147638151 |
Fax Number: | 9147633906 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | F4003211 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |