Provider Demographics
NPI:1063655587
Name:DONES, MICHAEL ANTHONY
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:DONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10528-1524
Mailing Address - Country:US
Mailing Address - Phone:914-925-5402
Mailing Address - Fax:914-925-5069
Practice Address - Street 1:1850 LAFAYETTE AVE
Practice Address - Street 2:APT 5K
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-2858
Practice Address - Country:US
Practice Address - Phone:914-925-5402
Practice Address - Fax:914-925-5069
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator