Provider Demographics
NPI:1558635599
Name:DONENFELD, YAWWAMAL (RN)
Entity Type:Individual
Prefix:MS
First Name:YAWWAMAL
Middle Name:
Last Name:DONENFELD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:YAWWAMAL
Other - Middle Name:
Other - Last Name:DONENFELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:53 RED OAK LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3933
Mailing Address - Country:US
Mailing Address - Phone:914-772-3263
Mailing Address - Fax:718-329-8155
Practice Address - Street 1:1 FORDHAM PLZ RM 749
Practice Address - Street 2:DEPT OF EDUCATION
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-5871
Practice Address - Country:US
Practice Address - Phone:718-741-3085
Practice Address - Fax:718-329-8155
Is Sole Proprietor?:No
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY413965163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator