Provider Demographics
NPI:1902113897
Name:GARZIONE-AREIZAGA, DEBORA A (LPN)
Entity Type:Individual
Prefix:
First Name:DEBORA
Middle Name:A
Last Name:GARZIONE-AREIZAGA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:643 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:SCHODACK LANDING
Mailing Address - State:NY
Mailing Address - Zip Code:12156-9724
Mailing Address - Country:US
Mailing Address - Phone:518-732-2855
Mailing Address - Fax:
Practice Address - Street 1:643 RIVER RD
Practice Address - Street 2:
Practice Address - City:SCHODACK LANDING
Practice Address - State:NY
Practice Address - Zip Code:12156-9724
Practice Address - Country:US
Practice Address - Phone:518-732-2855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY272159164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse