Provider Demographics
NPI:1295134898
Name:STONE, DEBORAH (LAC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 W 23RD ST
Mailing Address - Street 2:APT S3R
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-1011
Mailing Address - Country:US
Mailing Address - Phone:347-647-1807
Mailing Address - Fax:
Practice Address - Street 1:29 W 57TH ST
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3406
Practice Address - Country:US
Practice Address - Phone:347-647-1807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5251171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist