| Doctor Name: | DEBRA A MIRABITO |
| NPI Number: | 1215907589 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F332445 |
| Business Practice Address: | 5700 W Genesee St Camillus, NY - 130313200 |
| Business Phone Number: | 3154871573 |
| Business Fax Number: | 3154872418 |
| Mailing Address: | 1001 W Fayette St, Ste 400 SYRACUSE |
| State: | NY |
| Postal Code: | 132042859 |
| Phone Number: | 3154721488 |
| Fax Number: | 3154728060 |
| NPI Enumeration Date: | 01/26/2006 |
| NPI Last Update Date: | 05/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F332445 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |