Individual
DEBORAH EDITH BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 SOUTH AVE, STATEN ISLAND, NY 10303-1666
(917) 826-2956
Mailing address
117 SOUTH AVE, STATEN ISLAND, NY 10303-1666
(917) 826-2956
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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