National Provider Identifier
Debra Sue Longbine, RPA C
Debra Sue Longbine, RPA C is listed in the NPPES registry with a primary specialty of Physician Assistant in Derby, NY and a listed phone number of (716) 947-9147.
Profile Overview
- NPI
- 1679562664
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 21, 2005
- Last Updated
- April 07, 2017
Practice Location
- 6970 Erie RD
- Derby, NY 14047-9591
Phone: (716) 947-9147
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1679562664
- Entity Type
- Individual
- Last Name
- Longbine
- First Name
- Debra
- Middle Name
- Sue
- Name Prefix
- Mrs.
- Credential
- RPA C
- Mailing Street Address
- 6970 Erie RD
- Mailing City
- Derby
- Mailing State
- NY
- Mailing ZIP Code
- 14047-9591
- Mailing Country
- US
- Mailing Phone
- (716) 947-9147
- Mailing Fax
- (716) 947-5175
- Practice Street Address
- 6970 Erie RD
- Practice City
- Derby
- Practice State
- NY
- Practice ZIP Code
- 14047-9591
- Practice Country
- US
- Practice Phone
- (716) 947-9147
- Practice Fax
- (716) 947-5175
- Enumeration Date
- October 21, 2005
- Last Updated
- April 07, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 000570049002 (NY, BCBS Of Wny), 01429712 (NY), 9512214 (NY, Independent Health)