Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F300037 | NY |
NPI | 1013016617 |
---|---|
Provider Name | Deborah B Pflugh |
First Address | Liverpool, NY 13090-1086 |
Second Address | Syracuse, NY 13210-1756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 11/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
R55776 | (02) | NY |