Individual
ALLYSE DANIELLE BARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1351 ROUTE 55, STE 200, LAGRANGEVILLE, NY 12540-5144
(845) 475-9500
Mailing address
217 PORTER ST, EASTON, PA 18042-7654
(610) 730-5241
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NY
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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