Deborah Aubertine
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Watertown, NY
NPI 1104466044 · NPPES record last updated Sep 17, 2020
Key facts
- NPI
- 1104466044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 215301 (NY)
- Practice address
- 1704 State St
Watertown, NY 13601-3102 - Phone
- (315) 788-7430
- Fax
- (315) 785-5637
- NPI assigned
- Jan 8, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Home of Jefferson County | Current |
Accepting new patients | |
| Children'S Home of Jefferson County | Past |
Accepting new patients |
Locations
211 Jb Wise Pl
Watertown, NY 13601
Phone (315) 788-7430
167 Polk St
Ste 300
Watertown, NY 13601
1704 State St
Watertown, NY 13601
Phone (315) 788-7430
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 215301 | NY | Yes |
Addresses
Primary practice location
1704 State St
Watertown, NY 13601-3102
Mailing address
PO Box 6550
Watertown, NY 13601-6550
Phone (315) 788-7430
Other practice location 1
211 J.B. Wise Plaza
Watertown, NY 13601
Phone (315) 782-7445
Other practice location 2
167 Polk St Ste 300
Watertown, NY 13601-2770
Phone (315) 782-7445
Other providers in Watertown, NY
- Nancy Aten
- Caleb Christopher Atkins
- Reed Attisha
- Karen J Atutis
- Courtney Aubertine
- Gina Aubertine
- Jeffrey Kenneth Auerbach
- Amber Rae Augliano
- Kenzie Augustus
- Lisa M Augustus
All providers in Watertown, NY · Psychiatric/Mental Health Registered Nurse 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 Sep 17, 2020. 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.