Provider Demographics
NPI:1346470028
Name:PARADY KARDOS, DONNA
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:PARADY KARDOS
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 1:1579 UNION ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12309-6121
Mailing Address - Country:US
Mailing Address - Phone:518-347-2639
Mailing Address - Fax:518-374-9517
Practice Address - Street 1:1579 UNION ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-6121
Practice Address - Country:US
Practice Address - Phone:518-347-2639
Practice Address - Fax:518-374-9517
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH007026225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist