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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. DEBRA WANDERMAN MA,OTR/L
NPI 1417238940
Specialist in Jericho, NY

Active since August 29, 2011
3 PUTNAM AVE, JERICHO, NY 11753(516) 822-4188 Get Directions Write a Review

NPPES record last updated: July 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Debra Wanderman Ma,otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DEBRA WANDERMAN MA,OTR/L (NPI 1417238940) is an individual specialist in Jericho, New York, licensed in New York (001940) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1417238940
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. DEBRA WANDERMANCredential: MA,OTR/L
Location Address3 PUTNAM AVEJericho, NY 11753-1925
Mailing Address3 Putnam AveJericho, NY 11753-1925 · (516) 822-4188
Phone(516) 822-4188
Sole ProprietorYes
Enumeration DateAugust 29, 2011
Last NPPES UpdateJuly 26, 2026
✔ NPI 1417238940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 001940
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 PUTNAM AVE, Jericho, NY 11753
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Wanderman's NPI number?

The NPI number for Debra Wanderman is 1417238940. It was assigned to this individual provider in the NPPES registry on August 29, 2011.

Where is Debra Wanderman located?

Debra Wanderman practices at 3 Putnam Ave, Jericho, NY 11753. The listed phone number is (516) 822-4188.

What is Debra Wanderman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Debra Wanderman was last updated on July 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.