Provider Demographics
NPI:1861514069
Name:NAGY, DEBORAH ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ANNE
Last Name:NAGY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALEXANDER
Other - Middle Name:ZOLTAN
Other - Last Name:NAGY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10716 PENNYBACK PK DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87123
Mailing Address - Country:US
Mailing Address - Phone:302-245-1554
Mailing Address - Fax:
Practice Address - Street 1:1202 US HIGHWAY 60 WEST
Practice Address - Street 2:SOCORRO GENERAL HOSPITAL
Practice Address - City:SOCORRO
Practice Address - State:NM
Practice Address - Zip Code:87801
Practice Address - Country:US
Practice Address - Phone:575-835-1140
Practice Address - Fax:575-835-8716
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039941L207P00000X
NMMD20060738207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNM301123Medicare PIN