Individual
DONNA TREACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 TEE VIEW CT, MANORVILLE, NY 11949-2939
(631) 874-3032
(631) 874-4105
Mailing address
6 MILLS RD, STONY BROOK, NY 11790-2120
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002874-1
NY
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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