Detommasi, Allison R
Detommasi, Allison R is an individual health care provider with primary practice located at 2231 Burdett Ave Ste 160, Troy NY 12180-2447. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Detommasi, Allison R can be contacted via phone (518) 292-6200.Contact Information
Primary practice address
2231 Burdett Ave Ste 160
Troy NY 12180-2447
Phone: (518) 292-6200
Fax: (518) 292-6228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 213099 | New York |
Profile Details
| NPI number | 1194719625 |
|---|---|
| LBN Legal business name | Detommasi, Allison R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Jan 30th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194719625 | NPPES |
| Massachusetts | MEDICAID | 2026279 | |
| Massachusetts | MEDICAID | 1009925 | |
| Massachusetts | Other | P00007122 | |
| Massachusetts | MEDICAID | 02385133 |
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