Deborah Lee Piser, NP-C – Family Nurse Practitioner

Key facts

NPI: 1588035604
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: COA-17957-NP (OH)
Practice address: 860 Main Rd
Corfu, NY 14036-9753
Phone: (937) 321-4846
NPI assigned: Oct 15, 2015
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

My Catholic Doctor, P.L.L.C. Pediatrics Physician · New Canaan, CT · NPI 1396201307

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Certified Nurse Practitioner, Nurse Practitioner

State licenses

License	State	Type	Specialty
341383	NY	MD	Anesthesiology Physician
COA-17957-NP	OH	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
My Catholic Doctor, P.L.L.C.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	COA-17957-NP	OH	Yes

Addresses

Primary practice location

860 Main Rd
Corfu, NY 14036-9753

Mailing address

30W McCreight Ave
209
Springfield, OH 45504-1842
Phone (937) 523-9940

Other identifiers

Identifier	Type	State	Issuer
0150541	Medicaid	OH

Other providers in Corfu, NY

All providers in Corfu, NY · Family Nurse Practitioner 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 Jul 21, 2022. 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.

Verify at the official NPI Registry.