Individual
LOY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
708 SACKMAN ST, BROOKLYN, NY 11212-7036
(347) 513-5507
Mailing address
708 SACKMAN ST, BROOKLYN, NY 11212-7036
(347) 513-5507
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
656405
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
311585
NY
Other
Enumeration date
08/10/2014
Last updated
10/29/2023
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