Provider Demographics
NPI:1497937080
Name:DEBORAH A COGNATA DC PC
Entity Type:Organization
Organization Name:DEBORAH A COGNATA DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:COGNATA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:718-317-8900
Mailing Address - Street 1:346 OAKDALE ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-5119
Mailing Address - Country:US
Mailing Address - Phone:718-317-8900
Mailing Address - Fax:718-227-1932
Practice Address - Street 1:346 OAKDALE ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-5119
Practice Address - Country:US
Practice Address - Phone:718-317-8900
Practice Address - Fax:718-227-1932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005897111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCO5897-6OtherNYS WORKERS COMPENSATION
NYWYRQV1Medicare PIN