Prehoda, Debra L

Prehoda, Debra L is an sole proprietor health care provider with primary practice located at 9 Grand Ave , Mechanicville NY 12118-2142. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Prehoda, Debra L can be contacted via phone (518) 664-7719.

Contact Information

Primary practice address
9 Grand Ave Mechanicville NY 12118-2142
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 3556841 New York

Profile Details

NPI number 1477682839
LBN Legal business name Prehoda, Debra L
Credentials RN,BSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2007
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477682839 NPPES
New York MEDICAID 01860282

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