Individual
JESSICA DEUTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 RESEARCH WAY, EAST SETAUKET, NY 11733-3453
(631) 331-6400
Mailing address
1401 RICHLAND BLVD, BAY SHORE, NY 11706-4938
(631) 747-6223
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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