Individual
MS. DONNA WILLENBROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
901 STEWART AVE, SUITE 275, GARDEN CITY, NY 11530-4893
(516) 982-3690
Mailing address
80 LEBRUN AVE, AMITYVILLE, NY 11701-4222
(516) 982-3690
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304893
NY
Other
Enumeration date
12/12/2008
Last updated
06/29/2020
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