MEDICARE: MS. DEBORAH ANN PRICE RN

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	163WS0200X	School Registered Nurse	514331	NY

General Provider Information

NPI Number	:	1851665830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORAH ANN PRICE RN

Provider Business Mailing Address
First Line	:	5 ELDORADO DR
Second Line	:
City	:	CHESTNUT RIDGE
State	:	NY
Zip	:	10977-6407
Country	:	US
Telephone Number	:	845-577-6153
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 ELDORADO DR
Second Line	:
City	:	SPRING VALLEY
State	:	NY
Zip	:	10977-6407
Country	:	US
Telephone Number	:	845-577-6153
Fax Number	:

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

Provider Enumeration Date	:	03/08/2012
Last Update Date	:	03/08/2012

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