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NPI Code Detail

MEDICARE: DR. DEBORAH JEAN WILLIAMS DENIGRIS PMHNP, DNP

MEDICARE: DR. DEBORAH JEAN WILLIAMS DENIGRIS PMHNP, DNP
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 PractitionerF304273NY
2363LP0808XPsychiatric/Mental Health Nurse PractitionerF401158-1NY

Other Identifiers

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

General Provider Information

NPI Number : 1699800631
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBORAH JEAN WILLIAMS DENIGRIS PMHNP, DNP
Provider Business Mailing Address
First Line : 514 49TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-2010
Country : US
Telephone Number : 718-630-5226
Fax Number : 718-633-4256
Provider Business Practice Location Address
First Line : 514 49TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-2010
Country : US
Telephone Number : 718-630-5226
Fax Number : 718-633-4256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 10/04/2021

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