Active NPIIndividual provider

Mrs. Nicole Donofrio

Specialist in Staten Island, New York

NPI Number1669716726
Practice location
75 Skyline Dr, Staten Island, NY 10304-4832
Fax
—
Last updated
November 15, 2012

Nicole Donofrio is a Specialist based in Staten Island, NY. Nicole Donofrio practices in Staten Island, NY. The NPI Number for Nicole Donofrio is 1669716726 and holds a License No. 1258357 (NY). The current practice location address for Nicole Donofrio is 75 Skyline Dr, Staten Island, NY 10304-4832 and can be reached out via phone at 718-727-8206.

Provider Profile Details

NPI Number
1669716726
Provider Name
Nicole Donofrio
Provider Entity Type
Individual
Gender
Female
Address
75 Skyline Dr, Staten Island, NY 10304-4832
Phone Number
718-727-8206
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Other Names
-- Nicole Shack (Former Name)
Provider Enumeration Date
November 15, 2012
Last Update Date
November 15, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Skyline Dr
Staten Island, NY 10304-4832
Zip
10304-4832
Phone Number
718-727-8206
Staten Island, NY 10304Get directions →

Provider Business Mailing Address Details

Address
345 Melba St
Staten Island, NY 10314-5338
City
Staten Island
State
NY
Zip
10314-5338
Phone Number
917-399-7002

License Information

License Number
1258357
License State
NY
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Nicole Donofrio?

The NPI number of Mrs. Nicole Donofrio is 1669716726. It was assigned on November 15, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Nicole Donofrio?

Mrs. Nicole Donofrio is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 1258357.

Where does Mrs. Nicole Donofrio practice?

The practice location is 75 Skyline Dr, Staten Island, NY 10304-4832. The office can be reached at 718-727-8206 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669716726 directly on the NPPES registry website.

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