Individual
MR. ALLEN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
98 MERRYHILL DR, ROCHESTER, NY 14625-1165
(585) 586-4861
Mailing address
1305 BROOKEDGE DR, HAMLIN, NY 14464-9321
(585) 964-5884
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22163-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02380312
—
NY
Enumeration date
04/04/2007
Last updated
07/08/2007
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