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Individual

MR. CHRISTOPHER ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3 HUNTER BROOK LN, QUEENSBURY, NY 12804-5858
(518) 793-0891
(518) 793-2936
Mailing address
3 HUNTER BROOK LN, QUEENSBURY, NY 12804-5858
(518) 793-0891
(518) 793-2936

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0249921
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000416641001
BLUE SHIELD
01
Q10U91
BLUE CROSS
Enumeration date
10/06/2006
Last updated
07/08/2007
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