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Organization
THEODORE ALLEN PHYSICIAN, PC
Active
Organization
THEODORE ALLEN PHYSICIAN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE ALLEN MD (PRESIDENT)
(516) 681-2700
Entity
Organization
Contact information
Practice address
92 E OLD COUNTRY RD, HICKSVILLE, NY 11801-4217
(516) 681-2700
(516) 681-7115
Mailing address
92 E OLD COUNTRY RD, HICKSVILLE, NY 11801-4217
(516) 681-2700
(516) 681-7115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
129095
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00238188
—
NY
Enumeration date
03/11/2011
Last updated
03/11/2011
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