Individual
JAHNASIA LASHEA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
591 OLD TOWN RD, PORT JEFFERSON STATION, NY 11776-4236
(631) 476-7100
Mailing address
1173 N COUNTRY RD, STONY BROOK, NY 11790-1916
(631) 476-7100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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