Provider Demographics
NPI:1427072727
Name:ROTHSCHILD, DEBRA E (PHD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:E
Last Name:ROTHSCHILD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 W 70TH ST
Mailing Address - Street 2:#1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4636
Mailing Address - Country:US
Mailing Address - Phone:212-721-1791
Mailing Address - Fax:212-721-5576
Practice Address - Street 1:30 W 70TH ST
Practice Address - Street 2:#1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4636
Practice Address - Country:US
Practice Address - Phone:212-721-1791
Practice Address - Fax:212-721-5576
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1466101YA0400X
NY010075103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist