Provider Demographics
NPI:1518148634
Name:DONNA L.HENIG, M.D.,P.C.
Entity Type:Organization
Organization Name:DONNA L.HENIG, M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HENIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-598-4999
Mailing Address - Street 1:4200 SUNRISE HWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-5303
Mailing Address - Country:US
Mailing Address - Phone:516-598-4999
Mailing Address - Fax:516-598-4998
Practice Address - Street 1:4200 SUNRISE HWY
Practice Address - Street 2:SUITE 2
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-5303
Practice Address - Country:US
Practice Address - Phone:516-598-4999
Practice Address - Fax:516-598-4998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY175199-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty