Provider Demographics
NPI:1336835495
Name:DONATELLI, GIAYNEL PAULETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:GIAYNEL
Middle Name:PAULETTE
Last Name:DONATELLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GIAYNEL
Other - Middle Name:PAULETTE
Other - Last Name:CORDERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:101 NICOLLS RD RM 20
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-0001
Mailing Address - Country:US
Mailing Address - Phone:631-444-2990
Mailing Address - Fax:
Practice Address - Street 1:101 NICOLLS RD RM 20
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-444-2990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program