Provider Demographics
NPI:1831280296
Name:COGNATA, DEBORAH A (DC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:A
Last Name:COGNATA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346 OAKDALE ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-5119
Mailing Address - Country:US
Mailing Address - Phone:718-317-8900
Mailing Address - Fax:718-227-1932
Practice Address - Street 1:346 OAKDALE ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-5119
Practice Address - Country:US
Practice Address - Phone:718-317-8900
Practice Address - Fax:718-227-1932
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005897111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX47351Medicare PIN
NYX4735YRQV1Medicare PIN