Individual
MRS. GIAVANA R DONGVORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1363 VETERANS MEMORIAL HWY STE 8, HAUPPAUGE, NY 11788-3046
(631) 366-3876
(631) 366-3898
Mailing address
17 WELLWOOD DR, SHIRLEY, NY 11967-3720
(631) 729-6784
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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