Provider Demographics
NPI:1003878570
Name:HRUSTICH, DEBORAH A (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:A
Last Name:HRUSTICH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:350 NORTHERN BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12204-1000
Mailing Address - Country:US
Mailing Address - Phone:518-446-1850
Mailing Address - Fax:518-518-5287
Practice Address - Street 1:350 NORTHERN BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12204-1000
Practice Address - Country:US
Practice Address - Phone:518-446-1850
Practice Address - Fax:518-518-5287
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2011-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY161491207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery