MEDICARE: DR. DEBRA A MIGLIORE PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	408051	NY

General Provider Information

NPI Number	:	1679416176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBRA A MIGLIORE PMHNP

Provider Business Mailing Address
First Line	:	25 ALLISON WAY
Second Line	:
City	:	EMERSON
State	:	NJ
Zip	:	07630-1831
Country	:	US
Telephone Number	:	914-434-3509
Fax Number	:

Provider Business Practice Location Address
First Line	:	2035 RALPH AVE STE A8
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5300
Country	:	US
Telephone Number	:	914-434-3509
Fax Number	:

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

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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