Healthcare Provider Details

I. General information

NPI: 1902152630
Provider Name (Legal Business Name): DEBORAH ANN PRESLEY PMHNP/NPP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH PRESLEY PMHNP/NPP-BC

II. Dates (important events)

Enumeration Date: 07/31/2012
Last Update Date: 08/29/2021
Certification Date: 08/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 NEW SCOTLAND AVE
ALBANY NY
12208-3409
US

IV. Provider business mailing address

75 NEW SCOTLAND AVE
ALBANY NY
12208-3409
US

V. Phone/Fax

Practice location:
  • Phone: 518-549-6000
  • Fax:
Mailing address:
  • Phone: 518-549-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number402694
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: