Provider Demographics
NPI:1104954247
Name:QUATTRINI, DEBRA J (MA)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:J
Last Name:QUATTRINI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 WAKEFIELD LN
Mailing Address - Street 2:
Mailing Address - City:AVA
Mailing Address - State:NY
Mailing Address - Zip Code:13303-1815
Mailing Address - Country:US
Mailing Address - Phone:315-336-6751
Mailing Address - Fax:
Practice Address - Street 1:801 CYPRESS ST
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-2129
Practice Address - Country:US
Practice Address - Phone:315-339-6536
Practice Address - Fax:315-281-0080
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000-976231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist