Provider Demographics
NPI:1386884161
Name:D'ANTONI, LAURADONNA (DPT)
Entity type:Individual
Prefix:MISS
First Name:LAURADONNA
Middle Name:
Last Name:D'ANTONI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 SUMMERS ST
Mailing Address - Street 2:
Mailing Address - City:OYSTER BAY
Mailing Address - State:NY
Mailing Address - Zip Code:11771-3707
Mailing Address - Country:US
Mailing Address - Phone:516-399-2503
Mailing Address - Fax:516-908-3999
Practice Address - Street 1:200 S SERVICE RD STE 209
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-2118
Practice Address - Country:US
Practice Address - Phone:516-639-1247
Practice Address - Fax:516-908-3999
Is Sole Proprietor?:No
Enumeration Date:2009-03-06
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029070225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist