Provider Demographics
NPI:1316182256
Name:DEUTSCH, RONALD A (RPH)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:A
Last Name:DEUTSCH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 PALMER AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-4400
Mailing Address - Country:US
Mailing Address - Phone:914-632-7148
Mailing Address - Fax:914-632-7481
Practice Address - Street 1:2425 PALMER AVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-4400
Practice Address - Country:US
Practice Address - Phone:914-632-7148
Practice Address - Fax:914-632-7481
Is Sole Proprietor?:No
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY26218183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01807712Medicaid