Provider Demographics
NPI:1275060345
Name:SWEENEY, DONNA M (MS)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SUNSET LN E
Mailing Address - Street 2:
Mailing Address - City:MILLER PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11764-1645
Mailing Address - Country:US
Mailing Address - Phone:631-209-9152
Mailing Address - Fax:
Practice Address - Street 1:14 RESEARCH WAY EAST
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733
Practice Address - Country:US
Practice Address - Phone:631-331-6400
Practice Address - Fax:631-331-6865
Is Sole Proprietor?:No
Enumeration Date:2017-05-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist