Provider Demographics
NPI:1518055888
Name:DEL PRINCIPIO, DONNA M (DC, MS,CPT)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:DEL PRINCIPIO
Suffix:
Gender:F
Credentials:DC, MS,CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 DICKENS ST
Mailing Address - Street 2:
Mailing Address - City:STONY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10980-3653
Mailing Address - Country:US
Mailing Address - Phone:845-947-3737
Mailing Address - Fax:845-947-1319
Practice Address - Street 1:14 DICKENS ST
Practice Address - Street 2:
Practice Address - City:STONY POINT
Practice Address - State:NY
Practice Address - Zip Code:10980-3653
Practice Address - Country:US
Practice Address - Phone:845-947-3737
Practice Address - Fax:845-947-1319
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003770-1133N00000X
NYX006298111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU29388Medicare UPIN
NYX42951Medicare ID - Type Unspecified