Provider Demographics
NPI:1275329492
Name:EYTAN M DEBBI MD PC
Entity type:Organization
Organization Name:EYTAN M DEBBI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:EYTAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DEBBI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-998-3495
Mailing Address - Street 1:PO BOX 12323
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-0889
Mailing Address - Country:US
Mailing Address - Phone:631-998-3495
Mailing Address - Fax:631-288-2447
Practice Address - Street 1:541 E 71ST ST FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4871
Practice Address - Country:US
Practice Address - Phone:212-606-1408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Single Specialty