Healthcare Provider Details

I. General information

NPI: 1225327034
Provider Name (Legal Business Name): DEBRA E TOKER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEBRA TOKER LCSW

II. Dates (important events)

Enumeration Date: 04/01/2011
Last Update Date: 03/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1732 68TH ST 2ND FLOOR
BROOKLYN NY
11204-5005
US

IV. Provider business mailing address

1732 68TH ST 2ND FLOOR
BROOKLYN NY
11204-5005
US

V. Phone/Fax

Practice location:
  • Phone: 347-721-5093
  • Fax:
Mailing address:
  • Phone: 347-721-5093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number073859
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: