Provider Demographics
NPI:1457498776
Name:KIRKWOOD, DEBORAH ELLEN (CRNA)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:ELLEN
Last Name:KIRKWOOD
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:38 W 32ND ST
Mailing Address - Street 2:SUITE #1200
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3816
Mailing Address - Country:US
Mailing Address - Phone:800-673-5766
Mailing Address - Fax:800-843-1778
Practice Address - Street 1:38 W 32ND ST
Practice Address - Street 2:SUITE #1200
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3816
Practice Address - Country:US
Practice Address - Phone:800-673-5766
Practice Address - Fax:800-843-1778
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY448457367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered