Gold, Debra Rena
Gold, Debra Rena is an individual health care provider with primary practice located at 48 Burd Street Suite 205B, Nyack NY 10960. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gold, Debra Rena can be contacted via phone (845) 353-5569.Contact Information
Primary practice address
48 Burd Street Suite 205B
Nyack NY 10960
Phone: (845) 353-5569
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0093421 | New York |
Profile Details
| NPI number | 1891820395 |
|---|---|
| LBN Legal business name | Gold, Debra Rena |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891820395 | NPPES |
| New York | Other | 144783 | VALUE OPTIONS |
| New York | Other | 6802386 | VALUE OPTIONS |
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