Provider Demographics
NPI:1396740973
Name:WHITE, DEBORAH KAY (PT)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:KAY
Last Name:WHITE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:4250 HEMPSTEAD TPKE
Mailing Address - Street 2:STE 1
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-5707
Mailing Address - Country:US
Mailing Address - Phone:516-579-7870
Mailing Address - Fax:516-579-7867
Practice Address - Street 1:4250 HEMPSTEAD TPKE
Practice Address - Street 2:STE 1
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5707
Practice Address - Country:US
Practice Address - Phone:516-579-7870
Practice Address - Fax:516-579-7867
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY005258-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY112807278OtherHORIZON HEALTHCARE
NY112807278OtherHEALTHNET (TRICARE NORTH)
NY112807278OtherMETRACOMP
NY112807278OtherPHCS
NY112807278OtherACCESS MANAGED HEALTHCARE
NY3514OtherVYTRA HEALTH PLAN
NY000000080279OtherGHI HMO
NY112807278OtherMAGNACARE
NY4360072OtherAETNA HMO
NY650013195OtherRAILROAD MEDICARE
NY112807278OtherMULTIPLAN
NY112807278OtherRISING MEDICAL SOLUTIONS
NYANC1170OtherOXFORD HEALTH PLAN
NY20089POtherHIP
NY6600523OtherGHI PPO
NY934808OtherFIRST HEALTH
NYQ53971OtherBLUSCROSS/BLUESHIELD
NY0090294OtherAETNA USHC
NY373633OtherUNITED HEALTHCARE
NY3514OtherVYTRA HEALTH PLAN