Provider Demographics
NPI:1699043356
Name:DRAGONETTI, DAWN (RN)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:
Last Name:DRAGONETTI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 MAJOR MACDONALD WAY
Mailing Address - Street 2:WAPPINGERS JUNIOR HIGH SCHOOL
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-3748
Mailing Address - Country:US
Mailing Address - Phone:845-298-5200
Mailing Address - Fax:845-298-5156
Practice Address - Street 1:30 MAJOR MACDONALD WAY
Practice Address - Street 2:WAPPINGERS JUNIOR HIGH SCHOOL
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-3748
Practice Address - Country:US
Practice Address - Phone:845-298-5200
Practice Address - Fax:845-298-5156
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY443914163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse