Provider Demographics
NPI:1760577258
Name:WERNER, DEBRA J (MD)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:J
Last Name:WERNER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:83 WESTMINSTER CT
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-1313
Mailing Address - Country:US
Mailing Address - Phone:718-668-1700
Mailing Address - Fax:718-668-1733
Practice Address - Street 1:27 NEW DORP LN STE 2
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-2314
Practice Address - Country:US
Practice Address - Phone:718-668-1700
Practice Address - Fax:718-668-1733
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2024-05-09
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Provider Licenses
StateLicense IDTaxonomies
NY185682207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G13290Medicare UPIN