Provider Demographics
NPI:1992757686
Name:HOY, DEBRA A (FNP)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:A
Last Name:HOY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 RIVERSIDE DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905
Mailing Address - Country:US
Mailing Address - Phone:607-798-7100
Mailing Address - Fax:607-798-0675
Practice Address - Street 1:161 RIVERSIDE DR
Practice Address - Street 2:SUITE 205
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905
Practice Address - Country:US
Practice Address - Phone:607-798-7100
Practice Address - Fax:607-798-0675
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF333786363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02503588Medicaid
NY02503588Medicaid
P86611Medicare UPIN