Provider Demographics
NPI:1811297914
Name:HAFTEL, DEBORAH HOPE (FNP)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:HOPE
Last Name:HAFTEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 ASTRO PL
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-5728
Mailing Address - Country:US
Mailing Address - Phone:631-470-3392
Mailing Address - Fax:
Practice Address - Street 1:11 ASTRO PL
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-5728
Practice Address - Country:US
Practice Address - Phone:631-470-3392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-24
Last Update Date:2010-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY333584183500000X, 281PC2000X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No281PC2000XHospitalsChronic Disease HospitalChildren
No282N00000XHospitalsGeneral Acute Care Hospital