MEDICARE: MRS. DEBORAH L. CLAREY RN FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	332939	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427030980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBORAH L. CLAREY RN FNP-C

Provider Business Mailing Address
First Line	:	2209 GENESEE ST
Second Line	:
City	:	UTICA
State	:	NY
Zip	:	13501-5999
Country	:	US
Telephone Number	:	315-801-4238
Fax Number	:	315-801-8391

Provider Business Practice Location Address
First Line	:	131 MAIN ST STE 103
Second Line	:
City	:	ONEIDA
State	:	NY
Zip	:	13421-1641
Country	:	US
Telephone Number	:	315-366-3700
Fax Number	:	315-366-3721

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	03/18/2022

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