Provider Demographics
NPI:1356931000
Name:TRUNZO, DONNA
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:TRUNZO
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:PO BOX 218
Mailing Address - Street 2:
Mailing Address - City:SOUTH CAIRO
Mailing Address - State:NY
Mailing Address - Zip Code:12482-0218
Mailing Address - Country:US
Mailing Address - Phone:518-291-6984
Mailing Address - Fax:
Practice Address - Street 1:1085 SANDY PLAINS RD
Practice Address - Street 2:
Practice Address - City:LEEDS
Practice Address - State:NY
Practice Address - Zip Code:12451-1348
Practice Address - Country:US
Practice Address - Phone:518-291-6984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist