Provider Demographics
NPI:1699039958
Name:DONADIO, ANGELA (MA SPECIAL EDUCATOR)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:DONADIO
Suffix:
Gender:F
Credentials:MA SPECIAL EDUCATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 STUYVESANT DR
Mailing Address - Street 2:
Mailing Address - City:PORT JEFF STA
Mailing Address - State:NY
Mailing Address - Zip Code:11776-4228
Mailing Address - Country:US
Mailing Address - Phone:631-836-1629
Mailing Address - Fax:
Practice Address - Street 1:160 STUYVESANT DR
Practice Address - Street 2:
Practice Address - City:PORT JEFF STA
Practice Address - State:NY
Practice Address - Zip Code:11776-4228
Practice Address - Country:US
Practice Address - Phone:631-836-1629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-01
Last Update Date:2012-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist