Provider Demographics
NPI:1972872398
Name:DEUTSCH, JOSEPH (MS,OTR)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:DEUTSCH
Suffix:
Gender:M
Credentials:MS,OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 ANNANDALE RD
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-1750
Mailing Address - Country:US
Mailing Address - Phone:516-459-3071
Mailing Address - Fax:631-544-5152
Practice Address - Street 1:85 ANNANDALE RD
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-1750
Practice Address - Country:US
Practice Address - Phone:516-459-3071
Practice Address - Fax:631-544-5152
Is Sole Proprietor?:No
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY07685-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist