Provider Demographics
NPI:1013141860
Name:KAMPSCHROR, DEBORAH MONROE (PA)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:MONROE
Last Name:KAMPSCHROR
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Gender:F
Credentials:PA
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Mailing Address - Street 1:210 CORNELIA ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-2318
Mailing Address - Country:US
Mailing Address - Phone:518-562-7990
Mailing Address - Fax:518-562-7991
Practice Address - Street 1:210 CORNELIA ST
Practice Address - Street 2:SUITE 101
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-2318
Practice Address - Country:US
Practice Address - Phone:518-562-7990
Practice Address - Fax:518-562-7991
Is Sole Proprietor?:No
Enumeration Date:2009-05-08
Last Update Date:2011-11-08
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Provider Licenses
StateLicense IDTaxonomies
NY013577363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical