Provider Demographics
NPI:1629003587
Name:ZANOLLA, DONNA MARIA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:MARIA
Last Name:ZANOLLA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2728 HENRY HUDSON PKWY APT 72A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-4732
Mailing Address - Country:US
Mailing Address - Phone:718-543-5939
Mailing Address - Fax:718-549-2824
Practice Address - Street 1:2600 NETHERLAND AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-4801
Practice Address - Country:US
Practice Address - Phone:212-642-5849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014116103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist