Provider Demographics
NPI:1821096553
Name:GEIGER, DONNA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:LYNN
Last Name:GEIGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:251 E OAKLAND AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:PORT JEFFERSON
Mailing Address - State:NY
Mailing Address - Zip Code:11777-2602
Mailing Address - Country:US
Mailing Address - Phone:631-473-5329
Mailing Address - Fax:631-473-5371
Practice Address - Street 1:251 E OAKLAND AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:PORT JEFFERSON
Practice Address - State:NY
Practice Address - Zip Code:11777-2602
Practice Address - Country:US
Practice Address - Phone:631-473-5329
Practice Address - Fax:631-473-5371
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY187351207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01471154Medicaid
NY01471154Medicaid
NY92H221Medicare ID - Type Unspecified