Individual
HARVEY HAMILTON ALLEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 BUSINESS PARK DRIVE, 1ST FLOOR, UTICA, NY 13502-6313
(315) 624-7000
(315) 793-1129
Mailing address
116 BUSINESS PARK DRIVE, 1ST FLOOR, UTICA, NY 13502-6313
(315) 624-7000
(315) 793-1129
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
36488
NC
207RG0100X
Gastroenterology Physician
Primary
291947
NY
207RG0100X
Gastroenterology Physician
36488
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10741
BCBS
NC
05
—
8910741
—
NC
01
—
P00470723
RAIL ROAD MEDICARE
—
Enumeration date
03/25/2006
Last updated
06/25/2020
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