Provider Demographics
NPI:1639441678
Name:GURNER, DEBORAH MICHELLE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:MICHELLE
Last Name:GURNER
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 SAINT JOHNS PL
Mailing Address - Street 2:NO. 3B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-5650
Mailing Address - Country:US
Mailing Address - Phone:917-628-1405
Mailing Address - Fax:
Practice Address - Street 1:295 SAINT JOHNS PL
Practice Address - Street 2:NO. 3B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-5650
Practice Address - Country:US
Practice Address - Phone:917-628-1405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207830207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine