Provider Demographics
NPI:1215495833
Name:FALKOW, DEBORAH KAPLAN (CLIPP)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:KAPLAN
Last Name:FALKOW
Suffix:
Gender:F
Credentials:CLIPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 NOTTINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-2623
Mailing Address - Country:US
Mailing Address - Phone:845-445-8255
Mailing Address - Fax:888-316-9840
Practice Address - Street 1:300 ROUTE 59 SUITE 1
Practice Address - Street 2:
Practice Address - City:TALLMAN
Practice Address - State:NY
Practice Address - Zip Code:10982
Practice Address - Country:US
Practice Address - Phone:845-445-8255
Practice Address - Fax:888-316-9840
Is Sole Proprietor?:No
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ13VH05508700171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications