Provider Demographics
NPI:1437123114
Name:PIOTROWSKI, DEBORAH M (FNP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:M
Last Name:PIOTROWSKI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-5623
Mailing Address - Country:US
Mailing Address - Phone:716-483-4222
Mailing Address - Fax:
Practice Address - Street 1:20 W FAIRMOUNT AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NY
Practice Address - Zip Code:14750-1702
Practice Address - Country:US
Practice Address - Phone:716-338-0033
Practice Address - Fax:716-338-1575
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF332270363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily