Provider Demographics
NPI:1811030653
Name:NICHOLAS DONAS, M.D., P.L.L.C.
Entity type:Organization
Organization Name:NICHOLAS DONAS, M.D., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:DONAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-693-8228
Mailing Address - Street 1:18 ASHFORD AVE
Mailing Address - Street 2:SUITE 2M
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-1823
Mailing Address - Country:US
Mailing Address - Phone:914-693-8228
Mailing Address - Fax:914-693-8230
Practice Address - Street 1:18 ASHFORD AVE
Practice Address - Street 2:SUITE 2M
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1823
Practice Address - Country:US
Practice Address - Phone:914-693-8228
Practice Address - Fax:914-693-8230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY224017207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02516810Medicaid
NY02516810Medicaid
NYWANU41Medicare PIN