Individual
DONNA DRISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, CPNP
Contact information
Practice address
167 E MERRICK RD, VALLEY STREAM, NY 11580-5925
(516) 825-3030
(516) 825-4282
Mailing address
18 FLAGSTONE LN, WESTBURY, NY 11590-6531
(516) 455-1405
(516) 333-3810
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
380949-1
NY
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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