Provider Demographics
NPI:1285780056
Name:STONE, DEBORAH ANN (MASTERS OF SCIENCE)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:STONE
Suffix:
Gender:F
Credentials:MASTERS OF SCIENCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 12TH STREET
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-3103
Mailing Address - Country:US
Mailing Address - Phone:631-225-0422
Mailing Address - Fax:
Practice Address - Street 1:152 12TH ST
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-3103
Practice Address - Country:US
Practice Address - Phone:631-225-0422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist