Allison Tiedge
NPI #1649759861 in Blue Point, New York
Provider Information
- NPI Number
- 1649759861
- Entity Type
- Individual
- Name
- Allison Tiedge
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 8, 2018
- Last Updated
- Aug 8, 2018
Practice Location
- Address
- 65 PARK AVE
- City
- Blue Point
- State
- New York
- ZIP Code
- 11715-1040
- Phone
- (631) 512-2665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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