Provider Demographics
NPI:1144106600
Name:DONOHUE, MICHAELLA ANN
Entity type:Individual
Prefix:MRS
First Name:MICHAELLA
Middle Name:ANN
Last Name:DONOHUE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MICHAELLA
Other - Middle Name:DONOHUE
Other - Last Name:BOCCHINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:180 FORT WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3722
Mailing Address - Country:US
Mailing Address - Phone:646-317-6200
Mailing Address - Fax:
Practice Address - Street 1:180 FORT WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3722
Practice Address - Country:US
Practice Address - Phone:646-317-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program