Individual
VICKI-JO DEUTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 EAST 17TH ST, NEW YORK, NY 10003
(212) 420-2000
Mailing address
1249 5TH AVE, NEW YORK, NY 10029-4413
(212) 360-3925
(212) 289-2739
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
159256
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00866853
—
NY
Enumeration date
12/29/2006
Last updated
08/26/2015
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