Healthcare Provider Details

I. General information

NPI: 1477664985
Provider Name (Legal Business Name): ALISON PATRICIA DEEM M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALISON PATRICIA DURLEY M.D.

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/18/2024
Certification Date: 08/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPT OF PSYCHIATRY 300 CRITTENDEN BLVD
ROCHESTER NY
14642-8409
US

IV. Provider business mailing address

DEPT OF PSYCHIATRY 300 CRITTENDEN BLVD
ROCHESTER NY
14642-8409
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-6917
  • Fax:
Mailing address:
  • Phone: 585-275-6917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberRT1387
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: