Individual
ALLAN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 MEDFORD AVE, PATCHOGUE, NY 11772-1222
(631) 840-5347
Mailing address
33 MEDFORD AVE, PATCHOGUE, NY 11772-1222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
090594
NY
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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