Individual
DEBORAH ALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2235 CEDAR LN STE 302, VIENNA, VA 22182-5247
(703) 494-1020
Mailing address
400 E MAIN ST, MOUNT KISCO, NY 10549-3417
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000942
CT
363A00000X
Physician Assistant
Primary
003861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290000942CT01
ANTHEM BCBS
CT
Enumeration date
02/06/2006
Last updated
07/15/2025
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