Provider Demographics
NPI:1871852004
Name:DEBOW, ELIZA O (MD)
Entity Type:Individual
Prefix:
First Name:ELIZA
Middle Name:O
Last Name:DEBOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELIZA
Other - Middle Name:M
Other - Last Name:ORZYLOWSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1400 PELHAM PKWY SOUTH BUILDING 1, ROOM BS27
Mailing Address - Street 2:NYC HEALTH AND HOSPITALS JACOBI DEPT OF OBGYN
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:718-918-6300
Mailing Address - Fax:718-918-6318
Practice Address - Street 1:1400 PELHAM PKWY SOUTH BUILDING 8
Practice Address - Street 2:JACOBI MEDICAL CENTER OBSTETRICS & OMNECOLOGY
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-918-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY287962207V00000X
CA390200000X
CAA126836207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program