Physician Compare National (NPI:1548255102)

HEALTHCARE PROVIDER: DEBRA PINCUS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1548255102
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416006044
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090601000214
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PINCUS
	Individual professional last name
Provider First Name	DEBRA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PEDIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PEDIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	65 INDIAN HEAD RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2
	Group Practice or individual's line 2 address
City	KINGS PARK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	117543729
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y