Provider Demographics
NPI:1730384884
Name:SMOLLER, ALISON BRETT (DO)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:BRETT
Last Name:SMOLLER
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Gender:F
Credentials:DO
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Mailing Address - Street 1:40 LAIRD ST
Mailing Address - Street 2:APT. 321
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-8101
Mailing Address - Country:US
Mailing Address - Phone:212-562-2455
Mailing Address - Fax:212-562-5518
Practice Address - Street 1:462 1ST AVE
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9196
Practice Address - Country:US
Practice Address - Phone:212-562-2455
Practice Address - Fax:212-562-5518
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY2400482080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics