Provider Demographics
NPI:1386973907
Name:SPERRAZZA, DEBORAH (RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:
Last Name:SPERRAZZA
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 GRASSLANDS RD
Mailing Address - Street 2:
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1543
Mailing Address - Country:US
Mailing Address - Phone:914-761-3400
Mailing Address - Fax:914-761-5704
Practice Address - Street 1:65 GRASSLANDS RD
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1543
Practice Address - Country:US
Practice Address - Phone:914-761-3400
Practice Address - Fax:914-761-5704
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-10
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY496730163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse