Provider Demographics
NPI:1093174591
Name:KOVARY, DEBBIE MARIE (RN BSN)
Entity Type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:MARIE
Last Name:KOVARY
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 WESTON ST.
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STA.
Mailing Address - State:NY
Mailing Address - Zip Code:11746
Mailing Address - Country:US
Mailing Address - Phone:631-812-3000
Mailing Address - Fax:631-812-3165
Practice Address - Street 1:301 WEST HILLS RD.
Practice Address - Street 2:WAL WHITMAN HIGH SCHOOL
Practice Address - City:HUNTINGTON STA.
Practice Address - State:NY
Practice Address - Zip Code:11746
Practice Address - Country:US
Practice Address - Phone:631-812-3810
Practice Address - Fax:631-812-3819
Is Sole Proprietor?:No
Enumeration Date:2016-02-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY292688-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool