DR. DEBRA ELLEN BLAINE (NPI# 1841358140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841358140 |
| Entity Type | Individual |
| Full Name | DR. DEBRA ELLEN BLAINE |
| Credential | MD |
| Practice Address |
1912 E Jericho Trpk East Northport NY 11731-1173 |
| Mailing Address |
46 Northgate Cres Melville NY 11747-3028 |
| Practice Telephone | 6312383065 |
| Practice Fax Number | 6314434625 |
| Mailing Telephone | 5168229109 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2018-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 179846 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03848208 | 05 |
| Street Address |
1912 E JERICHO TRPK |
| City | EAST NORTHPORT |
| State | NY |
| Zip Code | 11731-1173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675899 | Deborah Carol Kassan | Physical Therapist | 457 Clay Pitts Road, East Northport, NY 11731 | 2020-09-30 |
| 1952923401 | Angela Marie Trapani | Psychologist | 34 Ashwood Ct, East Northport, NY 11731 | 2020-05-07 |
| 1013492016 | Kim Cooke | Social Worker | 42 Rofay Drive, East Northport, NY 11731 | 2018-09-26 |
| 1588163547 | Christine Catherine Ambrosio | Specialist | 229 Laured Rd East, East Northport, NY 11731 | 2018-02-06 |
| 1043729965 | Gavin Theofield | Social Worker | 418 2nd Avenue W, East Northport, NY 11731 | 2017-09-22 |
| 1518486489 | Brynn Katherine Maxwell | Specialist | 38 Furwood Drive, East Northport, NY 11731 | 2017-09-12 |
| 1598209934 | Clemencia Naruta | Registered Nurse | 413 Second Street, East Northport, NY 11731 | 2016-12-05 |
| 1033669460 | Danielle Franzone | Social Worker | 1 Klaibar Lane, East Northport, NY 11731 | 2016-10-10 |
| 1619323789 | Camille Martin | Registered Nurse | 5 Gildare Drive, East Northport, NY 11731 | 2016-05-09 |
| 1922467331 | Saadia Z Yunus | Marriage & Family Therapist | 554 Larkfield Rd Ste 10i, East Northport, NY 11731 | 2016-02-12 |
| Find all providers in zip 11731 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003304692 | Timoteo Zuno | General Practice | 239 Cedar Rd, East Northport, NY 11731-4702 | 2018-04-29 |
| 1386759967 | Arthur D Calderbank | General Practice | 184 Larkfield Road, East Northport, NY 11731 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420472 | Theodean Smith-lawrence | General Practice | 7 Smoke Rise Ln, Wappingers Falls, NY 12590-1220 | 2020-09-03 |
| 1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
| City | EAST NORTHPORT |
| Zip Code | 11731 |
Please comment or provide details below to improve the information on DR. DEBRA ELLEN BLAINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.