Individual
MS. DEBORA LOUISE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTIITONER
Contact information
Practice address
650 W 261ST ST, BRONX, NY 10471-1013
(917) 751-4260
Mailing address
650 W 261ST ST, BRONX, NY 10471-1013
(917) 751-4260
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302989-1
NY
Other
Enumeration date
09/28/2006
Last updated
11/28/2011
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