Organization
GLORIA B. DONAII
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA B DONAII (LPN)
(631) 576-7052
Entity
Organization
Contact information
Practice address
60 SEYMOUR LN, MEDFORD, NY 11763-1061
(631) 576-7050
Mailing address
60 SEYMOUR LN, MEDFORD, NY 11763-1061
(631) 576-7050
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
267481-1
NY
Other
Enumeration date
04/29/2012
Last updated
04/29/2012
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