Deborah K Duello, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Massena, NY
NPI 1003873290 · NPPES record last updated Mar 4, 2008
Key facts
- NPI
- 1003873290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 216127 (NY)
- Practice address
- 22 Center St
Massena, NY 13662-1437 - Phone
- (315) 764-0265
- Fax
- (315) 764-1812
- NPI assigned
- May 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tae Sik Choi MD PC | Obstetrics & Gynecology | Past |
Accepting new patients |
| Allara Medical Group PA | Obstetrics & Gynecology | Past | Accepting new patients |
| Cathy J. Berry, M.D., P.C. | Obstetrics & Gynecology | Past |
Accepting new patients |
| David P.Gorman, MD PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 216127 | NY | Yes |
Addresses
Primary practice location
22 Center St
Massena, NY 13662-1437
Mailing address
22 Center St
PO Box 111
Massena, NY 13662-1437
Phone (315) 764-0265
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02057427 | Medicaid | NY |
Other providers in Massena, NY
- David Disalvo
- Christopher A. Dodge
- Kaye Anne Douglas
- Ruth Dowdy
- Darcy Lynn Drummond
- Margaret Mary Dunn
- Jared A Dunne-Thayer
- Danielle Amber Duprey
- Kara Dutch
- Beverly Elaine Eastwood
All providers in Massena, NY · Obstetrics & Gynecology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.