Individual
MR. LINCOLN DARIUS ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
785 WESTCHESTER AVENUE, BRONX, NY 10455
(718) 589-5500
(718) 589-1096
Mailing address
324 PALISADE AVE, SUITE#1C, YONKERS, NY 10703-2924
(914) 377-1191
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000366
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02818000
—
NY
Enumeration date
11/27/2006
Last updated
07/09/2007
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