Provider Demographics
NPI:1104954544
Name:CUTLER, DEBORAH F (DC)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:F
Last Name:CUTLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 SOUND RD
Mailing Address - Street 2:
Mailing Address - City:GREENPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11944-1005
Mailing Address - Country:US
Mailing Address - Phone:917-270-1588
Mailing Address - Fax:
Practice Address - Street 1:119 W 23RD ST STE 403
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-6369
Practice Address - Country:US
Practice Address - Phone:212-741-6285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX003211 DUP111N00000X
NJ1672111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY28221Medicare UPIN