Provider Demographics
NPI:1235670183
Name:GALPERIN, DEBRA R
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:R
Last Name:GALPERIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 GENESEE CT
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4127
Mailing Address - Country:US
Mailing Address - Phone:845-729-1980
Mailing Address - Fax:
Practice Address - Street 1:10 MINELL PL
Practice Address - Street 2:ROOM 7
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-5508
Practice Address - Country:US
Practice Address - Phone:845-729-1980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-11
Last Update Date:2017-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC006773001041C0700X
NYR026514-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical