Sergio, Donna B

Sergio, Donna B is an individual health care provider with primary practice located at 1508 Genesee St , Utica NY 13502. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Sergio, Donna B can be contacted via phone (315) 798-8737.

Contact Information

Primary practice address
1508 Genesee St Utica NY 13502
Phone: (315) 798-8737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 400783 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F302788-1 New York

Profile Details

NPI number 1598967184
LBN Legal business name Sergio, Donna B
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Jul 2nd, 2018 - about 8 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 1598967184 NPPES
New York MEDICAID 400783
New York MEDICAID 03346036

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