Provider Demographics
NPI:1871828236
Name:ROTUNNO, DEBORAH (CD(DONA), CPD(CAPPA))
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:
Last Name:ROTUNNO
Suffix:
Gender:F
Credentials:CD(DONA), CPD(CAPPA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 BEECHER AVE
Mailing Address - Street 2:
Mailing Address - City:EAST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11730-1204
Mailing Address - Country:US
Mailing Address - Phone:631-650-7903
Mailing Address - Fax:
Practice Address - Street 1:40 BEECHER AVE
Practice Address - Street 2:
Practice Address - City:EAST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11730-1204
Practice Address - Country:US
Practice Address - Phone:631-650-7903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula