Provider Demographics
NPI:1255614483
Name:BOXER, DEBORAH (LMSW)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:
Last Name:BOXER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 BROADWAY, SUITE 1701 ATTENTION: DR. ROBECK
Mailing Address - Street 2:C/O HTA OF NEW YORK
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038
Mailing Address - Country:US
Mailing Address - Phone:212-732-5427
Mailing Address - Fax:212-964-9607
Practice Address - Street 1:150 BROADWAY, SUITE 1701 ATTENTION: DR. ROBECK
Practice Address - Street 2:C/O HTA OF NEW YORK
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038
Practice Address - Country:US
Practice Address - Phone:212-732-5427
Practice Address - Fax:212-964-9607
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016256-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker