Jolly, Donna L

Jolly, Donna L is an individual health care provider with primary practice located at 222 Route 299 Firstcare Medical Center, Highland NY 12528-2524. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Jolly, Donna L can be contacted via phone (845) 691-3627.

Contact Information

Primary practice address
222 Route 299 Firstcare Medical Center Highland NY 12528-2524
Phone: (845) 691-3627
Fax: (845) 691-3641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 016666-1 New York

Profile Details

NPI number 1376573873
LBN Legal business name Jolly, Donna L
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated May 3rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376573873 NPPES
New York MEDICAID 00273845

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