Individual ProviderDonna VeneziaEmergency MedicineAllopathic & Osteopathic PhysiciansPractice AddressUniversity Hospital, L4, Stony Brook, NY 11794-0001(631) 444-2499PECOS EnrollmentBased on the most recent information from CMS, provider Donna Venezia does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1831127752Provider TypeIndividualFull NameVenezia, DonnaTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date6/29/2006Last Updated7/8/2007Contact InformationPractice LocationPractice AddressUniversity Hospital, L4, Stony Brook, NY 11794-0001Phone(631) 444-2499FaxUnlisted FaxMailing LocationMailing AddressPO Box 1559, Stony Brook, NY 11790-0989Phone(631) 444-2499FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense171047New YorkProvider IdentifiersIDDescriptionIssuerID02052739DescriptionMedicaidIssuerUnlistedNew YorkID7162294DescriptionOtherIssuerAETNANew York