Individual
MRS. ILANA RACHEL DEUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7480
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7480
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421125
NY
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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