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Individual

MS. SERENA MARGARET ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C-PNP

Contact information

Practice address
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTER, OSSINING, NY 10562-4702
(914) 941-1263
(914) 941-8626
Mailing address
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTER, OSSINING, NY 10562-4702
(914) 941-1263
(914) 941-8626

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382534
NY
363LP0200X
Pediatric Nurse Practitioner
NP 17375
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04219072
NY
Enumeration date
08/20/2007
Last updated
02/09/2016
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