Individual
DONNA B SERGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1508 GENESEE ST, UTICA, NY 13502
(315) 798-8737
Mailing address
1406 FRANKLYN ST, ROME, NY 13440-2815
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
400783
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F302788-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03346036
—
NY
05
—
400783
—
NY
Enumeration date
06/05/2007
Last updated
07/02/2018
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