Provider Demographics
NPI:1467497115
Name:PORGES, DEBORAH Y (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:Y
Last Name:PORGES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1999 MARCUS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1033
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1999 MARCUS AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1033
Practice Address - Country:US
Practice Address - Phone:516-484-0656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174223174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0347494OtherCIGNA
NY174223OtherHIP
NY31411OtherVYTRA
NY492218OtherAETNA
NY56K031OtherEMPIRE BC BS
NYAS1530OtherOXFORD
NYP00266267OtherRR MEDICARE
NY45856OtherMDNY
NY1C3655OtherHEALTHNET
NY56K031Medicare PIN