Provider Demographics
NPI:1366771552
Name:GARZIONE, DONNA L (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:L
Last Name:GARZIONE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 OLD MILL RD
Mailing Address - Street 2:
Mailing Address - City:WALLKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12589-2806
Mailing Address - Country:US
Mailing Address - Phone:845-564-2837
Mailing Address - Fax:
Practice Address - Street 1:1071 DEVELOPMENT COURT
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-1959
Practice Address - Country:US
Practice Address - Phone:845-337-5227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008523171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor