Individual
AMY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 W 58TH ST APT 7G, NEW YORK, NY 10019-1611
(214) 701-6225
Mailing address
FILE 57326, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
67114
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/16/2023
Last updated
04/30/2026
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