Individual
ANNA YERMAKOVA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
63 SHAKER RD, SUITE 101, ALBANY, NY 12204-1030
(518) 434-1042
(518) 434-4327
Mailing address
63 SHAKER RD, SUITE 101, ALBANY, NY 12204-1030
(518) 434-1042
(518) 434-4327
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
245897
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02969280
—
NY
Enumeration date
12/27/2007
Last updated
03/12/2009
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