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Individual

ALLEN LAWRENCE FEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
365 COUNTY ROAD 39A UNIT 11, SOUTHAMPTON, NY 11968
(631) 283-6446
Mailing address
45 RESEARCH WAY STE 105, EAST SETAUKET, NY 11733-6401
(631) 675-2125
(631) 675-2624

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A2000404
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01593668
NY
01
38484
CIGNA
01
54733
VYTRA HEALTH PLANS
01
711379
HARVARD PILGRIM HEALTHCAR
01
88573
VYTRA HEALTH PLANS
01
AK46204A
MDNY
NY
01
P2130294
OXFORD HEALTHPLANS
01
P374141
OXFORD
Enumeration date
01/04/2006
Last updated
06/20/2018
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