Individual
ALLISON SUZANNE SELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2510 30TH AVE, ASTORIA, NY 11102-2448
(718) 932-1000
Mailing address
2510 30TH AVE, ASTORIA, NY 11102-2448
(718) 932-1000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
284635
NY
Other
Enumeration date
04/02/2013
Last updated
07/01/2019
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