Healthcare Provider Details

I. General information

NPI: 1386769982
Provider Name (Legal Business Name): DEBORAH ANN DUFFY R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 JON BARRETT RD
PATTERSON NY
12563-2164
US

IV. Provider business mailing address

1 MOCKINGBIRD CT
HOPEWELL JCT NY
12533-5247
US

V. Phone/Fax

Practice location:
  • Phone: 845-473-8856
  • Fax: 845-473-3751
Mailing address:
  • Phone: 845-592-0137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number311580-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: