Provider Demographics
NPI:1811017833
Name:KALENDERIAN, DONNA M (NP)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:M
Last Name:KALENDERIAN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:45 RESEARCH WAY STE 108
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-6401
Mailing Address - Country:US
Mailing Address - Phone:631-941-2000
Mailing Address - Fax:631-941-2010
Practice Address - Street 1:45 RESEARCH WAY STE 108
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-6401
Practice Address - Country:US
Practice Address - Phone:631-941-2000
Practice Address - Fax:631-941-2010
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2023-10-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY388867363L00000X
NYF300903363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner