SearchNew York101YA0400X

Elizabeth Detwiler, CASAC-T

NPI 1538453477 · on the registry since 2011

Practice

Address
28 Balaton Ave
Ronkonkoma, NY 11779
Phone
(631) 580-7777
Fax
(631) 580-7773

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-06-08

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