Provider Demographics
NPI:1245310267
Name:CIPRIONI, DEBORAH
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:CIPRIONI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 MILLER RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CASTLETON
Mailing Address - State:NY
Mailing Address - Zip Code:12033-4035
Mailing Address - Country:US
Mailing Address - Phone:518-915-1452
Mailing Address - Fax:518-729-3181
Practice Address - Street 1:81 MILLER RD
Practice Address - Street 2:SUITE 400
Practice Address - City:CASTLETON
Practice Address - State:NY
Practice Address - Zip Code:12033-4035
Practice Address - Country:US
Practice Address - Phone:518-915-1452
Practice Address - Fax:518-729-3181
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011005225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP04758Medicare UPIN
NYRA1510Medicare PIN