Individual
ALLISON DEITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 HEMPSTEAD TPKE, ST 202, WEST HEMPSTEAD, NY 11552-1147
(516) 437-6050
(516) 437-6304
Mailing address
510 HEMPSTEAD TPKE, ST 202, WEST HEMPSTEAD, NY 11552-1147
(516) 437-6050
(516) 437-6304
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01666971
—
NY
Enumeration date
09/21/2011
Last updated
09/21/2011
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