Individual
DR. DIONNE HAZEL MAGDELENE DONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8200
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
272066-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#39
#39
—
Enumeration date
07/23/2010
Last updated
08/05/2019
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