Provider Demographics
NPI:1497701429
Name:CARDOZA, DONNA V (MD)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:V
Last Name:CARDOZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:DONNA
Other - Middle Name:V
Other - Last Name:MOHAMED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:270-05 76TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1402
Mailing Address - Country:US
Mailing Address - Phone:718-470-7700
Mailing Address - Fax:718-962-6774
Practice Address - Street 1:270-05 76TH AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040
Practice Address - Country:US
Practice Address - Phone:718-470-7700
Practice Address - Fax:718-962-6774
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2017-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY209341207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH34977Medicare UPIN
NY30V351Medicare ID - Type Unspecified