| Doctor Name: | DEBRA KRUBLIT |
| NPI Number: | 1588053979 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 010289 |
| Business Practice Address: | 2 Elm Dr Old Bethpage, NY - 118041110 |
| Business Phone Number: | 5166947509 |
| Business Fax Number: | 5166947509 |
| Mailing Address: | 2 Elm Dr, OLD BETHPAGE |
| State: | NY |
| Postal Code: | 118041110 |
| Phone Number: | 5166947509 |
| Fax Number: | 5166947509 |
| NPI Enumeration Date: | 01/22/2015 |
| NPI Last Update Date: | 01/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 010289 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |