Deborah Anne Albert, NURSE PRACTITIONER

Individual provider Active NPI Nurse Practitioner · Buffalo, NY

NPI 1164547667 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164547667
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
F3343891 (NY)
Practice address
425 Michigan Ave
Buffalo, NY 14203
Phone
(716) 848-2249
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F3343891NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Primary Care Family Nurse Practitioners, PLLC Current
since Apr 15, 2015
Accepting new patients
Thomas C Small MD PC Past Accepting new patients

Locations

640 Ellicott St
Ste 105
Buffalo, NY 14203
Phone (716) 218-7169

4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F3343891 NY Yes

Addresses

Primary practice location

425 Michigan Ave
Buffalo, NY 14203

Mailing address

6511 Main St
Williamsville, NY 14221-5835
Phone (716) 626-4878

Other providers in Buffalo, NY

All providers in Buffalo, NY · Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.