Provider Demographics
NPI:1467278713
Name:NORTH SHORE PSYCHIATRIC ASSOCIATES OF LONG ISLAND, P.C.
Entity type:Organization
Organization Name:NORTH SHORE PSYCHIATRIC ASSOCIATES OF LONG ISLAND, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:B
Authorized Official - Last Name:DEUTCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-458-2522
Mailing Address - Street 1:2630 REBECCA ST
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-5416
Mailing Address - Country:US
Mailing Address - Phone:516-458-2522
Mailing Address - Fax:
Practice Address - Street 1:369 WILLIS AVE LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-1842
Practice Address - Country:US
Practice Address - Phone:516-253-4698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty