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General NPI Number Information
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NPI Number | 1710686985
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Entity Type | Individual
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Provider Name | ALLISON ELIZABETH BASH
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Gender | Female
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 200 SOUTH AVE # 16
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-4838
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Country | US
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Telephone | 845-462-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 78 DEER RUN RD
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City | RED HOOK
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State | NY
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Zip | 12571-2263
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 063953
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License Number State | NY
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