Provider Demographics
NPI:1851834451
Name:UNGER, ALLISON (MSED)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:UNGER
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 STONER AVE
Mailing Address - Street 2:APARTMENT 3J
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-2101
Mailing Address - Country:US
Mailing Address - Phone:516-650-5866
Mailing Address - Fax:
Practice Address - Street 1:14 STONER AVE
Practice Address - Street 2:APARTMENT 3J
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-2101
Practice Address - Country:US
Practice Address - Phone:516-650-5866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1316555174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist