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Everest Deadlock

NPI 1588449300 · on the registry since 2023

Practice

Address
2507 Us Route 11
La Fayette, NY 13084
Phone
(408) 826-9467

Additional practice sites

  • 499 Loma Alta Ave, Los Gatos, CA

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-14

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