Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 169637 | NY |
NPI | 1326076589 |
---|---|
Provider Name | Eileen S Debbi |
First Address | Jamaica, NY 11432-4140 |
Second Address | Jamaica, NY 11432-4140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 06/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E87558 | (02) | NY |