DEBRA MARIE FAILLA


Address: 260 Main Street, Suite 202, Northport, NY 11768
Phone: 6317847761

DEBRA MARIE FAILLA (NPI# 1679938252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679938252
Entity Type Individual
Full Name DEBRA MARIE FAILLA
Credential PSY.D
Practice Address 260 Main Street
Suite 202
Northport
NY 11768
Practice Telephone 6317847761
Enumeration Date 2015-12-23
Last Update Date 2020-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
018181 NY Behavioral Health & Social Service Providers

Office Location

Street Address 260 MAIN STREET
SUITE 202
City NORTHPORT
State NY
Zip Code 11768

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NPI Name Taxonomy Address Enumeration
1649753088 Tania Morris Developmental Therapist 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 2018-09-12
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1821514795 Village Speech and Language Pllc Clinic/Center 62 Makamah Beach Rd, Northport, NY 11768 2017-08-22
1073960415 Dennis Falco Private Vehicle 5 Captain Richards Ln, Fort Salonga, NY 11768 2016-05-16
1649649096 Lillian Patricia Fais Specialist 26 Josephine Lane, Fort Salonga, NY 11768 2015-09-16
1427349505 Kathleen Ann Korwasky Occupational Therapist 18 Dick Court, Northport, NY 11768 2011-04-25
1043448822 Gianna Rose Ferranti Dentist 19 Winkle Point Road, Northport, NY 11768 2009-06-30
1861658213 Barbara Ann Hansen Registered Nurse 78 Eatons Neck Rd, Northport, NY 11768 2008-08-05
1902060148 Dana Ruth Cohen Psychiatry & Neurology 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 2008-07-16
1588822969 Victoria I Boyle-buckwald Licensed Practical Nurse 2 Oleander Drive, Northport, NY 11768 2008-06-02
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730462060 Ben F Mcmath IIi Psychologist 902 Main Ave, Ste G, Northport, AL 35476-4434 2011-09-22
1750587531 John L. Ochoa Psychologist 41 Burr Ave, Northport, NY 11768-1926 2007-06-26
1780725705 Russell Keith Bomse Psychologist 90 Mar Kan Dr, Northport, NY 11768-1858 2007-02-11
1598816068 Sally Oakes Lauve Psychologist 302 Scudder Ave, Northport, NY 11768-2947 2007-01-12
1992891543 George M Reisine Psychologist 299 Main Street, Northport, NY 11768 2006-10-04
1023104643 Janet Ellen Eschen Psychologist Northport Vamc Psychology Service (116b), 79 Middleville Road, Northport, NY 11768 2006-10-04
1215960927 Davis & Davis, Clinical Psychologists, PC Psychologist 3610 Watermelon Rd, Suite 105, Northport, AL 35473-5170 2006-07-08
1417958471 David Wayne Gately Psychologist 79 Middleville Rd, Va Medical Center, Psychology Service (116b), Northport, NY 11768-2200 2005-08-02
1942600358 Jennifer A. Sawaya Psychologist 79 Middleville Rd, Northport, NY 11768-2200 2014-09-04
1265869390 Eftihia Linardatos Psychologist 79 Middleville Rd, Northport, NY 11768-2200 2013-10-03
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Competitor

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City NORTHPORT
Zip Code 11768

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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