Individual
DR. DEBORAH WEISBROT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
SUNY PUTNAM HALL, RM 103, STONY BROOK, NY 11794
(631) 632-8850
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
158082
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01824579
—
NY
Enumeration date
07/24/2006
Last updated
07/08/2007
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