Debra Krublit, P.T.
Individual provider Active NPI Pediatric Physical Therapist · Old Bethpage, NY
NPI 1588053979 · NPPES record last updated Jan 22, 2015
Key facts
- NPI
- 1588053979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 010289 (NY)
- Practice address
- 2 Elm Dr
Old Bethpage, NY 11804-1110 - Phone
- (516) 694-7509
- Fax
- (516) 694-7509
- NPI assigned
- Jan 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010289 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Debbie Fuggini, P.T., P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 010289 | NY | Yes |
Addresses
Primary practice location
2 Elm Dr
Old Bethpage, NY 11804-1110
Mailing address
2 Elm Dr
Old Bethpage, NY 11804-1110
Phone (516) 694-7509
Other names
- Debbie Fuggini
Other providers in Old Bethpage, NY
- Alissa Keschner
- Jodi Michele Kirschner
- Mikelle Lara Kirschner
- Andrea Barbara Kiss
- Lisa Rachel Koslow
- Marissa Brianne Kubicki
- Michelle Levy
- Life'S Worc
- Alexandra Joan Lipchik
- Francine M Lischner
All providers in Old Bethpage, NY · Pediatric Physical Therapist 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 Jan 22, 2015. 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.