Individual
MR. WILLIQUE A ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, LPN
Contact information
Practice address
40 OAKWOOD BLVD, POUGHKEEPSIE, NY 12603-4112
(845) 702-1320
Mailing address
40 OAKWOOD BLVD, POUGHKEEPSIE, NY 12603-4112
(845) 702-1320
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
989960
NY
164W00000X
Licensed Practical Nurse
339822-01
NY
Other
Enumeration date
04/15/2022
Last updated
07/03/2025
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