Individual
MRS. GABRIELLA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 960-1431
(718) 502-8661
Mailing address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 960-1431
(718) 502-8661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011660
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011660
LICENCE
NY
01
—
P3745644
OXFORD
NY
Enumeration date
02/19/2007
Last updated
01/29/2016
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