Provider Demographics
NPI:1437194966
Name:ZIMRING, DEBRA CAROL (MD)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:CAROL
Last Name:ZIMRING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:C
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:711 TROY SCHENECTADY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2461
Mailing Address - Country:US
Mailing Address - Phone:518-782-3742
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:1240 NEW SCOTLAND RD STE 203
Practice Address - Street 2:
Practice Address - City:SLINGERLANDS
Practice Address - State:NY
Practice Address - Zip Code:12159-9222
Practice Address - Country:US
Practice Address - Phone:518-439-2460
Practice Address - Fax:518-439-3025
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2080842083A0300X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000494029004OtherBSNENY
NY080123000067OtherFIDELIS
NY01995179Medicaid
NY10034687OtherCDPHP
NY7838049OtherAETNA
NY209060OtherSENIOR WHOLE HEALTH
NY4159331OtherMVP
NY119666OtherGHI-HMO
NY5715P1OtherEMPIRE BC
NY119666OtherGHI-HMO
NY4159331OtherMVP