Individual provider · Type 1 NPI

Allison Tiedge

Specialist · Blue Point, NY

NPI number 1649759861 Active

Practice location

65 Park Ave
Blue Point, NY 11715-1040

Call (631) 512-2665 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1649759861

Allison Tiedge's National Provider Identifier is 1649759861, issued on Aug 8, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Blue Point, NY. The record was last updated on Aug 8, 2018.