Individual
MS. ELIZABETH L ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
406 ELIZABETH ST, UTICA, NY 13501-2306
(315) 798-5747
(315) 798-1057
Mailing address
185 GENESEE ST, UTICA, NY 13501-2102
(315) 798-5080
(315) 798-5022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
178545-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F380166-1
NY
Other
Enumeration date
03/08/2010
Last updated
12/28/2012
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