Individual
DESIREE CHRISTINA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
531 E LINCOLN AVE APT 2M, MOUNT VERNON, NY 10552-3721
(917) 474-9260
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310569
NY
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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