Organization
STAR CARE DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA MARY DONAGHY RN, BSN, MBA (PRESIDENT/DIRECTOR OF EDUCATION)
(631) 803-6008
Entity
Organization
Contact information
Practice address
55 CARLETON AVE, EAST ISLIP, NY 11730-2133
(631) 803-6008
Mailing address
PO BOX 933, BELLPORT, NY 11713-0933
(631) 803-6008
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558621631
—
NY
Enumeration date
05/09/2022
Last updated
05/09/2022
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