Healthcare Provider Details

I. General information

NPI: 1366538399
Provider Name (Legal Business Name): DEBRA SINGER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 11/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 COMPUTER DR W SUITE 126A
ALBANY NY
12205-1621
US

IV. Provider business mailing address

3 COMPUTER DR W SUITE 126A
ALBANY NY
12205-1621
US

V. Phone/Fax

Practice location:
  • Phone: 518-458-9113
  • Fax: 518-458-9117
Mailing address:
  • Phone: 518-458-9113
  • Fax: 518-458-9117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberX011003-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number001043-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX004664
License Number StateNY

VIII. Authorized Official

Name: DR. DEBRA SINGER
Title or Position: OWNER
Credential: D.C.
Phone: 518-458-9113