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NPI Code Detail

MEDICARE: ALLISON HEATH

MEDICARE: ALLISON HEATH
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
1363A00000XPhysician Assistant017807NY

General Provider Information

NPI Number : 1609284710
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON HEATH
Provider Business Mailing Address
First Line : 1111 AMSTERDAM AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10025-1716
Country : US
Telephone Number : 212-523-4000
Fax Number :
Provider Business Practice Location Address
First Line : 1111 AMSTERDAM AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10025-1716
Country : US
Telephone Number : 240-447-2733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2014
Last Update Date : 03/30/2026

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Directions to “ ALLISON HEATH ” Practice Location

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