Individual
BRIAN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 LOWER RD, CONSTANTIA, NY 13044-2614
(315) 623-7114
Mailing address
307 LOWER RD, CONSTANTIA, NY 13044-2614
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
826.1
NY
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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