Provider Demographics
NPI:1659510709
Name:SEMEL, DEBORA SIMCHA (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORA
Middle Name:SIMCHA
Last Name:SEMEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DEBORA
Other - Middle Name:SIMCHA
Other - Last Name:BERNHEIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:26508 74TH AVE APT F1
Mailing Address - Street 2:
Mailing Address - City:GLEN OAKS
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1167
Mailing Address - Country:US
Mailing Address - Phone:516-627-3542
Mailing Address - Fax:516-627-3542
Practice Address - Street 1:26508 74TH AVE APT F1
Practice Address - Street 2:
Practice Address - City:GLEN OAKS
Practice Address - State:NY
Practice Address - Zip Code:11004-1167
Practice Address - Country:US
Practice Address - Phone:516-627-3542
Practice Address - Fax:516-627-3542
Is Sole Proprietor?:No
Enumeration Date:2009-02-12
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY249389-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics