Provider Demographics
NPI:1437706678
Name:DWECK, DEBORAH (DPT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:DWECK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:SAFDIEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2952 BRIGHTON 3RD ST STE 502
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7079
Mailing Address - Country:US
Mailing Address - Phone:718-676-4112
Mailing Address - Fax:718-676-4134
Practice Address - Street 1:2952 BRIGHTON 3RD ST STE 502
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7079
Practice Address - Country:US
Practice Address - Phone:718-676-4112
Practice Address - Fax:718-676-4134
Is Sole Proprietor?:No
Enumeration Date:2019-08-22
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044564225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist