Provider Demographics
NPI:1114074796
Name:SANDROFF, DONNA JOYCE (OTR)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:JOYCE
Last Name:SANDROFF
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CINDY LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-1605
Mailing Address - Country:US
Mailing Address - Phone:845-692-5191
Mailing Address - Fax:
Practice Address - Street 1:12 CINDY LN
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-1605
Practice Address - Country:US
Practice Address - Phone:845-692-5191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health