Healthcare Provider Details

I. General information

NPI: 1194978346
Provider Name (Legal Business Name): TONI DEUTSCHMAN M.S.C.C.C./SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2008
Last Update Date: 06/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1367 BROADWAY APT. B19
HEWLETT NY
11557-1355
US

IV. Provider business mailing address

1367 BROADWAY APT. B19
HEWLETT NY
11557-1355
US

V. Phone/Fax

Practice location:
  • Phone: 516-313-4806
  • Fax:
Mailing address:
  • Phone: 516-313-4806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number005311-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: