Provider Demographics
NPI:1477578771
Name:HIRSHKOWITZ, DEBRA (PHD)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:HIRSHKOWITZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 RAMAPO RD
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-4511
Mailing Address - Country:US
Mailing Address - Phone:914-471-2213
Mailing Address - Fax:
Practice Address - Street 1:19 RAMAPO RD
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-4511
Practice Address - Country:US
Practice Address - Phone:914-471-2213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2024-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015976103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYVM7691Medicare ID - Type Unspecified