Provider Demographics
NPI:1215117932
Name:DONEWITZ, DARA J (MA, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:DARA
Middle Name:J
Last Name:DONEWITZ
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 NORTHERN PKWY E
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-2007
Mailing Address - Country:US
Mailing Address - Phone:516-770-4400
Mailing Address - Fax:
Practice Address - Street 1:9 NORTHERN PKWY E
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-2007
Practice Address - Country:US
Practice Address - Phone:516-770-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011398-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics