Provider Demographics
NPI:1215079819
Name:DEBE, JOSEPH A (DC, DACBN, C)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:DEBE
Suffix:
Gender:M
Credentials:DC, DACBN, C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 GREAT NECK RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3305
Mailing Address - Country:US
Mailing Address - Phone:516-829-1515
Mailing Address - Fax:516-829-8578
Practice Address - Street 1:38 GREAT NECK RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3305
Practice Address - Country:US
Practice Address - Phone:516-829-1515
Practice Address - Fax:516-829-8578
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005168111NN1001X
NY003768133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111NN1001XChiropractic ProvidersChiropractorNutrition
Not Answered133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT53116Medicare UPIN
NYX29091Medicare ID - Type UnspecifiedCHIROPRACTIC
NY9437E1Medicare ID - Type UnspecifiedNUTRITION