Healthcare Provider Details

I. General information

NPI: 1174553192
Provider Name (Legal Business Name): DEBORAH HAPP YABLON NPP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 HOLLAND AVE
ALBANY NY
12208-3410
US

IV. Provider business mailing address

910 NORTHUMBERLAND DR
NISKAYUNA NY
12309-2814
US

V. Phone/Fax

Practice location:
  • Phone: 518-626-5308
  • Fax: 518-626-5409
Mailing address:
  • Phone: 518-374-4309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF400221
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: