Provider Demographics
NPI:1043071947
Name:MCLAREN, DONYA
Entity Type:Individual
Prefix:MRS
First Name:DONYA
Middle Name:
Last Name:MCLAREN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 CEDARWOOD RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06903-2524
Mailing Address - Country:US
Mailing Address - Phone:718-490-6032
Mailing Address - Fax:
Practice Address - Street 1:1237 CORNELL AVE
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13901-1583
Practice Address - Country:US
Practice Address - Phone:971-334-5343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home