Provider Demographics
NPI:1346329299
Name:MISHKIT, ALISON DEE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:DEE
Last Name:MISHKIT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 BLUE SKY CT
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-2901
Mailing Address - Country:US
Mailing Address - Phone:631-549-7288
Mailing Address - Fax:
Practice Address - Street 1:152 E MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2958
Practice Address - Country:US
Practice Address - Phone:631-423-1414
Practice Address - Fax:631-423-4902
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY181617208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM2826H1OtherBCBS PROV ID
NYE48900Medicare UPIN
NM2826H1OtherBCBS PROV ID