Individual
DOREEN L ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 S PARK PL, AMITYVILLE, NY 11701-2617
(631) 375-6268
Mailing address
20 SOUTH PARK PLACE, AMITYVILLE, NY 11701
(631) 375-6268
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
582742
NY
163WC1500X
Community Health Registered Nurse
Primary
582742
NY
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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