Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Debra Marie Nettleton

Individual provider Specialist · NPI 1407119209

Mrs. Debra Marie Nettleton is a Specialist in Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

19 Warner Ln
Ronkonkoma, NY 11779-2109
Phone: (631) 676-6416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 996138001 (NY)

Record details

NPI number1407119209
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 18, 2012
Last updated in NPPESJune 18, 2012

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