CAROLYN DONOVAN NPI 1255785739

NPI Information

NPI: 1255785739
Provider Name: CAROLYN DONOVAN
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
18 FORD AVE
TROY, NY
ZIP 12180
Phone: (518) 229-8386
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Carolyn Donovan is a specialist in Troy, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Carolyn Donovan NPI is 1255785739. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18 FORD AVE
TROY, NY
ZIP 12180-802
Phone: (518) 229-8386

The enumeration date for this NPI number is 4/20/2016 and was last updated on 4/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist			NEW YORK	Yes
2	252Y00000X	Early Intervention Provider Agency			NEW YORK	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0212	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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