Individual
ALLISON PORTIA RATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 57TH ST, MAIMONIDES ADULT PRIMARY CARE CLINIC, BROOKLYN, NY 11219-4537
(718) 283-5700
Mailing address
1250 57TH STREET, MAIMONIDES ADULT PRIMARY CARE CLINIC, BROOKLYN, NY 11219
(718) 283-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
192459
NY
207R00000X
Internal Medicine Physician
25MA07850800
NJ
Other
Enumeration date
09/13/2005
Last updated
01/16/2014
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