MEDICARE: DR. DEBRA E ROTHSCHILD PH.D.

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	1466	NY
2	103T00000X	Psychologist	010075	NY

General Provider Information

NPI Number	:	1427072727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBRA E ROTHSCHILD PH.D.

Provider Business Mailing Address
First Line	:	30 W 70TH ST
Second Line	:	#1C
City	:	NEW YORK
State	:	NY
Zip	:	10023-4636
Country	:	US
Telephone Number	:	212-721-1791
Fax Number	:	212-721-5576

Provider Business Practice Location Address
First Line	:	30 W 70TH ST
Second Line	:	#1C
City	:	NEW YORK
State	:	NY
Zip	:	10023-4636
Country	:	US
Telephone Number	:	212-721-1791
Fax Number	:	212-721-5576

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	09/11/2025

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