Provider Demographics
NPI:1699283192
Name:DONAIRE, EMMY SUNSHINE
Entity type:Individual
Prefix:
First Name:EMMY
Middle Name:SUNSHINE
Last Name:DONAIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4826 ALDER DR APT D
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-1168
Mailing Address - Country:US
Mailing Address - Phone:646-246-8490
Mailing Address - Fax:
Practice Address - Street 1:4826 ALDER DR APT D
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-1168
Practice Address - Country:US
Practice Address - Phone:646-246-8490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty