DR. DEBORAH K DUELLO M.D. NPI 1003873290

Obstetrics & Gynecology in Massena, NY

About DEBORAH DUELLO

Deborah Duello is a provider in Massena, NY. The NPI number assigned to this provider is 1003873290. The practitioner's primary taxonomy code is Obstetrics & Gynecology (207V00000X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003873290 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. DEBORAH K DUELLO M.D.
Provider Location Address22 CENTER ST MASSENA, NY 13662 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address22 CENTER ST PO BOX 111 MASSENA, NY 13662 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date05-01-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date03-04-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. DEBORAH K DUELLO M.D.
22 CENTER ST
MASSENA, NY
ZIP 13662
Phone: (315) 764-0265
Fax: (315) 764-1812
Get Directions

Mailing Address

DR. DEBORAH K DUELLO M.D.
22 CENTER ST
PO BOX 111
MASSENA, NY
ZIP 13662
Phone: (315) 764-0265
Fax: (315) 764-1812

Primary Taxonomy

Taxonomy Code207V00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
License No.216127
License StateNY
Taxonomy DescriptionAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
RB4396MEDICARE PIN (08)NY
02057427MEDICAID (05)NY
C50585MEDICARE UPIN (02)

Map Location


DR. DEBORAH K DUELLO M.D. address is 22 CENTER ST MASSENA, NY 13662

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467487769 KAYE ANNE DOUGLAS MD
Individual
Obstetrics & Gynecology22 CENTER ST
MASSENA, NY 13662
(315) 764-0265
1811921927 TAESIK CHOI MD
Individual
Obstetrics & Gynecology22 CENTER ST
MASSENA, NY 13662
(315) 764-0265
1922038116TAE SIK CHOI MD PC
Organization
Obstetrics & Gynecology22 CENTER ST
MASSENA, NY 13662
(315) 764-0265
1922288844 CYNTHIA J PROVOW MD
Individual
Obstetrics & Gynecology22 CENTER ST
MASSENA, NY 13662
(315) 764-0265