Individual
SCOTT BRYANT ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 CORPORATE BLVD S, YONKERS, NY 10701-6862
(914) 294-6300
Mailing address
387 AIRPORT RD TRLR 3, REXBURG, ID 83440-5032
(208) 680-5380
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
10150401
OR
227900000X
Registered Respiratory Therapist
Primary
LRT-1548
ID
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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