Provider Demographics
NPI:1255679502
Name:DONNEYS, DEVON
Entity type:Individual
Prefix:
First Name:DEVON
Middle Name:
Last Name:DONNEYS
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 1:4304 48TH ST
Mailing Address - Street 2:#1D
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-1650
Mailing Address - Country:US
Mailing Address - Phone:646-592-5020
Mailing Address - Fax:
Practice Address - Street 1:4304 48TH ST
Practice Address - Street 2:#1D
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-1650
Practice Address - Country:US
Practice Address - Phone:646-592-5020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator