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NPI Code Detail

MEDICARE: DR. ALISON THERESA O'BRIEN MD

MEDICARE: DR. ALISON THERESA O'BRIEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician293347NY

General Provider Information

NPI Number : 1427042571
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALISON THERESA O'BRIEN MD
Provider Business Mailing Address
First Line : 460 ANDES RD
Second Line :
City : DELHI
State : NY
Zip : 13753-7443
Country : US
Telephone Number : 607-746-0550
Fax Number : 607-746-0568
Provider Business Practice Location Address
First Line : 460 ANDES RD
Second Line :
City : DELHI
State : NY
Zip : 13753-7443
Country : US
Telephone Number : 607-746-0550
Fax Number : 607-746-0568
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 05/22/2020

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