Active NPI
Debora Vanderveer
- Public Health or Welfare Agency
- Auburn, NY
National Provider Identifier
1346438611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- DEBORA VANDERVEER
- Practice address
- 17 E Genesee St
Auburn, NY 13021-4040 - Phone
- (315) 253-4316
- Fax
- (315) 253-3255
- NPI assigned
- Oct 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Claire Bobrckiy, LCSW
- Title
- Clinic Plus Supervisor
- Phone
- (315) 253-9795
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
17 E Genesee St
Auburn, NY 13021-4040
Mailing address
8816 Wandering Way
Baldwinsville, NY 13027-1513
Phone (315) 253-4316
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192147200000",
"number": "1346438611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8816 WANDERING WAY",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130271513",
"telephone_number": "315-253-4316",
"fax_number": "315-253-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 E GENESEE ST",
"city": "AUBURN",
"state": "NY",
"postal_code": "130214040",
"telephone_number": "315-253-4316",
"fax_number": "315-253-3255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBORA VANDERVEER",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-12",
"status": "A",
"authorized_official_last_name": "BOBRCKIY",
"authorized_official_first_name": "CLAIRE",
"authorized_official_title_or_position": "CLINIC PLUS SUPERVISOR",
"authorized_official_telephone_number": "315-253-9795",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.