Provider Demographics
NPI:1013016617
Name:PFLUGH, DEBORAH B (NP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:B
Last Name:PFLUGH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8324 OSWEGO RD
Mailing Address - Street 2:STE B
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-1086
Mailing Address - Country:US
Mailing Address - Phone:315-426-0190
Mailing Address - Fax:315-426-0192
Practice Address - Street 1:475 IRVING AVE
Practice Address - Street 2:SUITE 418
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-1756
Practice Address - Country:US
Practice Address - Phone:315-426-0190
Practice Address - Fax:315-426-0192
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF300037363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY51656EMedicare ID - Type Unspecified
NYR55776Medicare UPIN