Provider Demographics
NPI:1053628495
Name:DI DONATO, CHRISANN
Entity Type:Individual
Prefix:MS
First Name:CHRISANN
Middle Name:
Last Name:DI DONATO
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 1:227 HAVEN AVE
Mailing Address - Street 2:#2A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-5309
Mailing Address - Country:US
Mailing Address - Phone:516-314-8911
Mailing Address - Fax:
Practice Address - Street 1:227 HAVEN AVE
Practice Address - Street 2:#2A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-5309
Practice Address - Country:US
Practice Address - Phone:516-314-8911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010218-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist