Provider Demographics
NPI:1316170376
Name:JOZEF M. DEBIEC, M.D., PLLC
Entity type:Organization
Organization Name:JOZEF M. DEBIEC, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOZEF
Authorized Official - Middle Name:M
Authorized Official - Last Name:DEBIEC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-681-9089
Mailing Address - Street 1:200 S BROADWAY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-4500
Mailing Address - Country:US
Mailing Address - Phone:914-681-9089
Mailing Address - Fax:
Practice Address - Street 1:200 S BROADWAY
Practice Address - Street 2:SUITE 205
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-4500
Practice Address - Country:US
Practice Address - Phone:914-681-9089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240161261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain