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NPI Code Detail

MEDICARE: DEBRA ANN CHALMERS NP

MEDICARE: DEBRA ANN CHALMERS NP
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
1363LA2200XAdult Health Nurse PractitionerF301828NY

General Provider Information

NPI Number : 1588658876
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA ANN CHALMERS NP
Provider Business Mailing Address
First Line : 100 PORT WASHINGTON BLVD
Second Line : SUITE 105
City : ROSLYN
State : NY
Zip : 11576-1353
Country : US
Telephone Number : 516-390-9640
Fax Number : 516-414-3099
Provider Business Practice Location Address
First Line : 100 PORT WASHINGTON BLVD
Second Line : SUITE 105
City : ROSLYN
State : NY
Zip : 11576-1353
Country : US
Telephone Number : 516-390-9640
Fax Number : 516-414-3099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 07/08/2007

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