Provider Demographics
NPI:1710992524
Name:ZITNER, DEBORAH H (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:H
Last Name:ZITNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-2743
Mailing Address - Country:US
Mailing Address - Phone:631-351-3766
Mailing Address - Fax:631-351-3694
Practice Address - Street 1:120 NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2743
Practice Address - Country:US
Practice Address - Phone:631-351-3766
Practice Address - Fax:631-351-3694
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY149386-1207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCP090OtherOXFORD
NY298490OtherGHI
NY09D861OtherBLUE CROSS/ BLUE SHIELD
NY2C4966OtherHEALTHNET
NY00776114Medicaid
NY09D861Medicare ID - Type Unspecified
NYCP090OtherOXFORD