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Allison Ickstadt

NPI 1871102608 · on the registry since 2020

Practice

Address
1174 Fortune Ct
Wantagh, NY 11793
Phone
(516) 221-1431

Additional practice sites

  • 252 Islip Ave, Islip, NY

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-07-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York