Healthcare Provider Details

I. General information

NPI: 1043414212
Provider Name (Legal Business Name): DEBBIAN HAY MS OT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 02/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 PARK AVE S
NEW YORK NY
10010-2906
US

IV. Provider business mailing address

129 ALONDRA WAY
ROUND ROCK TX
78681-1789
US

V. Phone/Fax

Practice location:
  • Phone: 212-388-1903
  • Fax:
Mailing address:
  • Phone: 917-838-2098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: