Provider Demographics
NPI:1013218759
Name:PHILBERT, DONNA-MARIE (MSED)
Entity Type:Individual
Prefix:
First Name:DONNA-MARIE
Middle Name:
Last Name:PHILBERT
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 KINGSTON AVE
Mailing Address - Street 2:APT A-9
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-1746
Mailing Address - Country:US
Mailing Address - Phone:718-300-5050
Mailing Address - Fax:
Practice Address - Street 1:555 KINGSTON AVE
Practice Address - Street 2:APT A-9
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-1746
Practice Address - Country:US
Practice Address - Phone:718-300-5050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist