Provider Demographics
NPI:1710288196
Name:DONATO, LAUREN B
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:B
Last Name:DONATO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 OVINGTON AVE
Mailing Address - Street 2:APT. 4-F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-1343
Mailing Address - Country:US
Mailing Address - Phone:718-570-6685
Mailing Address - Fax:
Practice Address - Street 1:267 OVINGTON AVE
Practice Address - Street 2:APT. 4-F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-1343
Practice Address - Country:US
Practice Address - Phone:718-570-6685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health