Healthcare Provider Details

I. General information

NPI: 1457771834
Provider Name (Legal Business Name): ALISON DZWONCZYK EARLY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2014
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8231 CORNELL RD STE 320
CINCINNATI OH
45249-2281
US

IV. Provider business mailing address

8231 CORNELL RD STE 320
CINCINNATI OH
45249-2281
US

V. Phone/Fax

Practice location:
  • Phone: 513-815-5900
  • Fax: 513-223-3688
Mailing address:
  • Phone: 513-815-5900
  • Fax: 513-223-3688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35134071
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: