Provider Demographics
NPI:1801040134
Name:GARVEY, DEBORAH ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ANN
Last Name:GARVEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:GARVEY-DALY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:1 74TH ST
Mailing Address - Street 2:APT. 5L
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-1858
Mailing Address - Country:US
Mailing Address - Phone:718-208-8524
Mailing Address - Fax:
Practice Address - Street 1:1 74TH ST
Practice Address - Street 2:APT. 5L
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-1858
Practice Address - Country:US
Practice Address - Phone:718-208-8524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006159-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor