Provider Demographics
NPI:1427032655
Name:DEUTSCH, JAMES A (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:DEUTSCH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:83 REMSEN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3401
Mailing Address - Country:US
Mailing Address - Phone:718-855-8700
Mailing Address - Fax:718-875-9752
Practice Address - Street 1:450 CLARKSON AVE
Practice Address - Street 2:SUITE J
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2056
Practice Address - Country:US
Practice Address - Phone:718-270-1714
Practice Address - Fax:718-270-3233
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-01
Last Update Date:2012-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY162708-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01130327Medicaid
NYD91894Medicare UPIN
NY01130327Medicaid