Provider Demographics
NPI:1245499243
Name:HARBIN, DEBORAH R (PA)
Entity type:Individual
Prefix:MISS
First Name:DEBORAH
Middle Name:R
Last Name:HARBIN
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1560 E 55TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3904
Mailing Address - Country:US
Mailing Address - Phone:718-252-7543
Mailing Address - Fax:
Practice Address - Street 1:186 JORALEMON ST FL 11
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4326
Practice Address - Country:US
Practice Address - Phone:929-455-2399
Practice Address - Fax:929-455-2398
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY006878-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant