Provider Demographics
NPI:1972827616
Name:STONE, DEBORAH (MS, BC-DMT, LCAT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:MS, BC-DMT, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 W 80TH ST
Mailing Address - Street 2:APT. 3R
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-7137
Mailing Address - Country:US
Mailing Address - Phone:917-334-7745
Mailing Address - Fax:
Practice Address - Street 1:718 BROADWAY
Practice Address - Street 2:11D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-9500
Practice Address - Country:US
Practice Address - Phone:917-334-7745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000794225600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist