Provider Demographics
NPI:1245516863
Name:GAST, DONNA (DONNA GAST)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:
Last Name:GAST
Suffix:
Gender:F
Credentials:DONNA GAST
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:GAST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DONNA GAST
Mailing Address - Street 1:200 BOCES DR
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4321
Mailing Address - Country:US
Mailing Address - Phone:914-245-2700
Mailing Address - Fax:
Practice Address - Street 1:200 BOCES DR
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4321
Practice Address - Country:US
Practice Address - Phone:914-245-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007857235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist