Provider Demographics
NPI:1316248784
Name:DONTES OF NEW YORK
Entity type:Organization
Organization Name:DONTES OF NEW YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONTE
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:CASSESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-483-8800
Mailing Address - Street 1:10632 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6164
Mailing Address - Country:US
Mailing Address - Phone:480-483-8800
Mailing Address - Fax:480-483-8866
Practice Address - Street 1:10632 N SCOTTSDALE RD
Practice Address - Street 2:SUITE B
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6164
Practice Address - Country:US
Practice Address - Phone:480-483-8800
Practice Address - Fax:480-483-8866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15372332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies