Provider Demographics
NPI:1902152432
Name:SELLINGER, DONNA (RDH)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:
Last Name:SELLINGER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 KENNEDY ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13066-1341
Mailing Address - Country:US
Mailing Address - Phone:315-727-9100
Mailing Address - Fax:
Practice Address - Street 1:114 KENNEDY ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NY
Practice Address - Zip Code:13066-1341
Practice Address - Country:US
Practice Address - Phone:315-727-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide