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Individual

DR. DEBRA PINCUS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
65 INDIAN HEAD RD, SUITE 2, KINGS PARK, NY 11754-3705
(631) 269-0180
(631) 269-0178
Mailing address
65 INDIAN HEAD RD, SUITE 2, KINGS PARK, NY 11754-3705
(631) 269-0180
(631) 269-0178

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
183029
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01709571
NY
Enumeration date
09/20/2005
Last updated
07/08/2007
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