Individual
MS. DEBRA JEANNE CABOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
795 WISCONSIN AVE, BAY SHORE, NY 11706-2336
(631) 434-2350
Mailing address
795 WISCONSIN AVE, BAY SHORE, NY 11706-2336
(631) 434-2350
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381212-1
NY
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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