Provider Demographics
NPI:1063761989
Name:LOEB, DEBBIE (MS/TSHH)
Entity type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:
Last Name:LOEB
Suffix:
Gender:F
Credentials:MS/TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1053 E 17TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4412
Mailing Address - Country:US
Mailing Address - Phone:718-377-3810
Mailing Address - Fax:
Practice Address - Street 1:1053 E 17TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-4412
Practice Address - Country:US
Practice Address - Phone:718-377-3810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist