Individual
DR. DONNA MARIE RESTIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
822 S LAKE BLVD, MAHOPAC, NY 10541-4761
(845) 628-6286
Mailing address
822 S LAKE BLVD, MAHOPAC, NY 10541-4761
(845) 628-6286
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X3559
NY
Other
Enumeration date
02/22/2007
Last updated
08/04/2008
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