Wrazin, Debra

Wrazin, Debra is an individual health care provider with primary practice located at 89B River Road , North Tonawanda NY 14120. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wrazin, Debra can be contacted via phone (716) 693-9961.

Contact Information

Primary practice address
89B River Road North Tonawanda NY 14120
Phone: (716) 693-9961
Fax: (716) 693-4402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 082582-1 New York

Profile Details

NPI number 1912279779
LBN Legal business name Wrazin, Debra
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2012
Last updated Feb 8th, 2012 - about 14 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 1912279779 NPPES
New York MEDICAID 00638537

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