Marsala, Debra R
Marsala, Debra R is an individual health care provider with primary practice located at 160 Stone St , Watertown NY 13601-3250. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Marsala, Debra R can be contacted via phone (315) 788-8065.Contact Information
Primary practice address
160 Stone St
Watertown NY 13601-3250
Phone: (315) 788-8065
Fax: (315) 788-7062
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F301144-1 | New York |
Profile Details
NPI number | 1922259373 |
---|---|
LBN Legal business name | Marsala, Debra R |
Credentials | Adult Nurse Practitioner (ANP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2008 |
Last updated | Oct 3rd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922259373 | NPPES |
New York | MEDICAID | 00583697 |
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