Basic Information
| Provider Information | |||||||||
| NPI: | 1487728135 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CIPRIANI | ||||||||
| FirstName: | DEBRA | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MS ED PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 104 | ||||||||
| Address2: | |||||||||
| City: | CROSS RIVER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147635941 | ||||||||
| FaxNumber: | 9147635332 | ||||||||
| Practice Location | |||||||||
| Address1: | 890 ROUTE 35 | ||||||||
| Address2: | |||||||||
| City: | CROSS RIVER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147635941 | ||||||||
| FaxNumber: | 9147635332 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/17/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 0044011 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.