Provider Demographics
NPI:1447489687
Name:DONLON-FARRY, EIBHLIN P (DSW, LCSW)
Entity type:Individual
Prefix:DR
First Name:EIBHLIN
Middle Name:P
Last Name:DONLON-FARRY
Suffix:
Gender:F
Credentials:DSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 BURDA LN
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-1520
Mailing Address - Country:US
Mailing Address - Phone:845-638-2884
Mailing Address - Fax:845-638-8086
Practice Address - Street 1:186 BURDA LN
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-1520
Practice Address - Country:US
Practice Address - Phone:845-638-2884
Practice Address - Fax:845-638-8086
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR042806-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical