National Provider Identifier

Debra Ann Logan

Debra Ann Logan is listed in the NPPES registry with a primary specialty of Specialist in Hornell, NY and a listed phone number of (607) 968-6221.

NPI 1295552834Hornell, NYSpecialist

Profile Overview

NPI
1295552834
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
September 24, 2024
Last Updated
September 24, 2024

Practice Location

  • 27 Main St
  • Hornell, NY 14843-1551

Phone: (607) 968-6221

Specialties

  • Specialist (174400000X)
Full Record
NPI
1295552834
Entity Type
Individual
Last Name
Logan
First Name
Debra
Middle Name
Ann
Mailing Street Address
27 Main St
Mailing City
Hornell
Mailing State
NY
Mailing ZIP Code
14843-1551
Mailing Country
US
Mailing Phone
(607) 968-6221
Practice Street Address
27 Main St
Practice City
Hornell
Practice State
NY
Practice ZIP Code
14843-1551
Practice Country
US
Practice Phone
(607) 968-6221
Enumeration Date
September 24, 2024
Last Updated
September 24, 2024
Sex
Female
Sole Proprietor
No
Certification Date
September 24, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)