Provider Demographics
NPI:1558505222
Name:DUXBURY, DEBORAH LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:LYNN
Last Name:DUXBURY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4900 HEMPSTEAD TPKE 102
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-2028
Mailing Address - Country:US
Mailing Address - Phone:516-605-1955
Mailing Address - Fax:516-605-1956
Practice Address - Street 1:4900 HEMPSTEAD TPKE 102
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-2028
Practice Address - Country:US
Practice Address - Phone:516-605-1955
Practice Address - Fax:516-605-1956
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-26
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251513-1208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery