Basic Information
Provider Information
NPI: 1477664985
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DEEM
FirstName: ALISON
MiddleName: PATRICIA
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: DURLEY
OtherFirstName: ALISON
OtherMiddleName: PATRICIA
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 1
Mailing Information
Address1: DEPT OF PSYCHIATRY
Address2: 300 CRITTENDEN BLVD
City: ROCHESTER
State: NY
PostalCode: 146428409
CountryCode: US
TelephoneNumber: 5852756917
FaxNumber:  
Practice Location
Address1: DEPT OF PSYCHIATRY
Address2: 300 CRITTENDEN BLVD
City: ROCHESTER
State: NY
PostalCode: 146428409
CountryCode: US
TelephoneNumber: 5852756917
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/31/2006
LastUpdateDate: 07/24/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XRT1387NHY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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