Provider Demographics
NPI:1336217553
Name:PLACHTA, DEBORAH NANCY (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:NANCY
Last Name:PLACHTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 BLEEKER AVE APT 3M
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-4547
Mailing Address - Country:US
Mailing Address - Phone:212-879-5621
Mailing Address - Fax:914-222-8838
Practice Address - Street 1:490 BLEEKER AVE APT 3M
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-4547
Practice Address - Country:US
Practice Address - Phone:212-879-5621
Practice Address - Fax:914-222-8838
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1314972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
333341Medicare ID - Type Unspecified
B13209Medicare UPIN
333342Medicare ID - Type Unspecified