Provider Demographics
NPI:1619135449
Name:GILDENER, DEBORAH GAIL (RN ESQ)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:GAIL
Last Name:GILDENER
Suffix:
Gender:F
Credentials:RN ESQ
Other - Prefix:
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Mailing Address - Street 1:98 SMITHTOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-0454
Mailing Address - Country:US
Mailing Address - Phone:845-297-2894
Mailing Address - Fax:845-297-2894
Practice Address - Street 1:98 SMITHTOWN ROAD
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-0454
Practice Address - Country:US
Practice Address - Phone:845-297-2894
Practice Address - Fax:845-297-2894
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY369510-1163W00000X
CTR50644163W00000X
AZRN109204163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse