Provider Demographics
NPI:1447467774
Name:CERZA, DONNA ANNE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:ANNE
Last Name:CERZA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 COUNTY ROAD 132
Mailing Address - Street 2:
Mailing Address - City:OVID
Mailing Address - State:NY
Mailing Address - Zip Code:14521-9700
Mailing Address - Country:US
Mailing Address - Phone:607-869-5609
Mailing Address - Fax:607-869-5303
Practice Address - Street 1:1330 COUNTY ROAD 132
Practice Address - Street 2:
Practice Address - City:OVID
Practice Address - State:NY
Practice Address - Zip Code:14521-9700
Practice Address - Country:US
Practice Address - Phone:607-869-5609
Practice Address - Fax:607-869-5303
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1730274937173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF333-130-1OtherLICENSE
NYMC0672267OtherDEA NUMBER