Healthcare Provider Details

I. General information

NPI: 1184737942
Provider Name (Legal Business Name): ADAM DEUTSCHER O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 CHRISTOPHER ST
NEW YORK NY
10014-4252
US

IV. Provider business mailing address

19 SYLVAN PL
NEW ROCHELLE NY
10801-2030
US

V. Phone/Fax

Practice location:
  • Phone: 212-741-9550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number005584
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: