Provider Demographics
NPI:1417202722
Name:SCHWEIFEL, DEBORAH IDA
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:IDA
Last Name:SCHWEIFEL
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 1:1442 BELLMORE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-3709
Mailing Address - Country:US
Mailing Address - Phone:516-244-5586
Mailing Address - Fax:
Practice Address - Street 1:1442 BELLMORE RD
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-3709
Practice Address - Country:US
Practice Address - Phone:516-244-5586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY755007174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator