Individual
DONNA GOODWIN DIPIETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
26 HORICON AVE., BOLTON LANDING, NY 12814
(518) 644-2400
Mailing address
43 PUCKER STREET, WARRENSBURG, NY 12885
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
22359316
NY
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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