Individual
ALLYSON C CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
570 ELMONT RD, ELMONT, NY 11003-3535
(516) 437-6050
(516) 437-6304
Mailing address
570 ELMONT RD, ELMONT, NY 11003-3535
(516) 437-6050
(516) 437-6304
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01666971
—
NY
Enumeration date
09/16/2008
Last updated
09/16/2008
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