Provider Demographics
NPI:1922357532
Name:DOODNAUTH, DEBORAH DEVI
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:DEVI
Last Name:DOODNAUTH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MCLEAN AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-2356
Mailing Address - Country:US
Mailing Address - Phone:914-265-7460
Mailing Address - Fax:
Practice Address - Street 1:6 MCLEAN AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-2356
Practice Address - Country:US
Practice Address - Phone:914-265-7460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2016-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056636183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist