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NPI Code Detail

MEDICARE: ALLISON DEPAULIS

MEDICARE:   ALLISON  DEPAULIS
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1639034531
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON DEPAULIS
Provider Business Mailing Address
First Line : 1611 ARGYLE RD
Second Line :
City : WANTAGH
State : NY
Zip : 11793-3143
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1611 ARGYLE RD
Second Line :
City : WANTAGH
State : NY
Zip : 11793-3143
Country : US
Telephone Number : 516-743-6072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2025
Last Update Date : 12/22/2025

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Directions to “ ALLISON DEPAULIS ” Practice Location

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