Individual
MARY ANNE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
(518) 480-0108
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
(518) 480-0108
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F380009
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00630039
—
NY
Enumeration date
07/31/2006
Last updated
08/04/2010
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