Individual
CAMILLE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 WESTCHESTER AVE, BRONX, NY 10461-3585
(718) 542-5805
Mailing address
14202 20TH AVE FL 3, FLUSHING, NY 11351-3000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
329006
NY
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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