Provider Demographics
NPI:1619059474
Name:MARESCA-CURLEY, DONNA (OD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:
Last Name:MARESCA-CURLEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5903 1/2 AVENUE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-4129
Mailing Address - Country:US
Mailing Address - Phone:718-444-7007
Mailing Address - Fax:718-444-7244
Practice Address - Street 1:5903 1/2 AVENUE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-4129
Practice Address - Country:US
Practice Address - Phone:718-444-7007
Practice Address - Fax:718-444-7244
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005161152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400005228Medicare PIN