JEANINE NICOLE DONOHUE NPI 1912617051

NPI Information

NPI: 1912617051
Provider Name: JEANINE NICOLE DONOHUE
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address: 17 WINSIDE LN
CORAM, NY
ZIP 11727
Phone: (631) 793-0480

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NPI Details

Jeanine Nicole Donohue is a massage therapist in Coram, NY. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Jeanine Nicole Donohue NPI is 1912617051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17 WINSIDE LN
CORAM, NY
ZIP 11727-134
Phone: (631) 793-0480

The enumeration date for this NPI number is 11/30/2022 and was last updated on 11/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		032470	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	102760417	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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