Individual
LUKE G ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 ROANOKE AVE, RIVERHEAD, NY 11901
(631) 548-6440
(631) 548-6446
Mailing address
40 DRIFTWOOD LANE, EAST MORICHES, NY 11940
(631) 874-4567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
007280-1
NY
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/14/2006
Last updated
01/18/2008
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