Provider Demographics
NPI:1073738175
Name:TUMONIS, DONALD ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ANDREW
Last Name:TUMONIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 COUNTY HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:PENN YAN
Mailing Address - State:NY
Mailing Address - Zip Code:14527-9317
Mailing Address - Country:US
Mailing Address - Phone:315-536-0315
Mailing Address - Fax:315-536-0315
Practice Address - Street 1:2450 COUNTY HOUSE RD
Practice Address - Street 2:
Practice Address - City:PENN YAN
Practice Address - State:NY
Practice Address - Zip Code:14527-9317
Practice Address - Country:US
Practice Address - Phone:315-536-0315
Practice Address - Fax:315-536-0315
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3650X111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor