Provider Demographics
NPI:1871658575
Name:DAVIS, DEBORAH RABINOVITCH (MSW)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:RABINOVITCH
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:884 W END AVE
Mailing Address - Street 2:43
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-3506
Mailing Address - Country:US
Mailing Address - Phone:212-315-5596
Mailing Address - Fax:212-666-3385
Practice Address - Street 1:884 W END AVE
Practice Address - Street 2:43
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-3506
Practice Address - Country:US
Practice Address - Phone:212-315-5596
Practice Address - Fax:212-666-3385
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0157501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical