Debora Barchilon, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

221449 Issued in NY

Practice address

11 Grace Ave
Suite 204
Great Neck, NY 11021-2417

Phone

(516) 482-4064

Fax

(516) 750-5232

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Debora Huberman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1922129402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GRACE AVE",
            "address_2": "SUITE 204",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212417",
            "telephone_number": "516-482-4064",
            "fax_number": "516-750-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GRACE AVE",
            "address_2": "SUITE 204",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212417",
            "telephone_number": "516-482-4064",
            "fax_number": "516-750-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCHILON",
        "first_name": "DEBORA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "221449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORA",
            "last_name": "HUBERMAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronald Bank, PHARMACIST
• Christian Bantigue, COTA
• Bryan Baracaldo, DPT
• Julianna Baratta
• Gregory Barber
• Josephine Bardabelias, P.T.
• Herbert Bardavid, MSW
• Jane C Bardavid, LCSW
• Ann Bareish, LCSW
• Dennis Barek, MD

• Psychiatry Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.