Individual
ALI ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
777 WESTCHESTER AVE, STE 110, WHITE PLAINS, NY 10604-3520
(914) 997-0420
Mailing address
150 BRENTWOOD AVE, FAIRFIELD, CT 06825-5454
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
139944
CT
163W00000X
Registered Nurse
Primary
679625
NY
163W00000X
Registered Nurse
RN53047
RI
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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