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Provider Information for 1487190021

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DEBORAH EDELMAN LMSW

Other Name:   DEBORAH GREENBERG
Gender: FEMALE

Individual NPI: 1487190021

Calendar   Last Updated:  2017-01-06
  Certification Date: 

Details

Name Value
NPI 1487190021
Enumeration Date 2017-01-06
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 321 CLUBHOUSE DR
PATCHOGUE, NY 11772-8208
United States

Phone: 718-755-4800 | Fax:
View Map External Link
Primary Practice Address 168 HILL ST
SOUTHAMPTON, NY 11968-5337
United States

Phone: 631-283-3272 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 104100000X - Social Worker NY 0263121