Pincus, Debra

Pincus, Debra is an individual health care provider with primary practice located at 65 Indian Head Rd Suite 2, Kings Park NY 11754-3705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Pincus, Debra can be contacted via phone (631) 269-0180.

Contact Information

Primary practice address
65 Indian Head Rd Suite 2 Kings Park NY 11754-3705
Fax: (631) 269-0178
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 183029 New York

Profile Details

NPI number 1548255102
LBN Legal business name Pincus, Debra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548255102 NPPES
New York MEDICAID 01709571

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