| Doctor Name: | DEBRA L PREHODA |
| NPI Number: | 1477682839 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN,BSN |
| License Number: | 3556841 |
| Business Practice Address: | 9 Grand Ave Mechanicville, NY - 121182142 |
| Business Phone Number: | 5186647719 |
| Business Fax Number: | |
| Mailing Address: | 39 Meadow Rue Pl, BALLSTON SPA |
| State: | NY |
| Postal Code: | 120204367 |
| Phone Number: | 5188996796 |
| Fax Number: | |
| NPI Enumeration Date: | 03/03/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 3556841 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |