Individual
ALLISON ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 FOUNTAIN ST, SUITE 109, CLINTON, NY 13323-1725
(315) 853-6090
Mailing address
70 PARIS RD, NEW HARTFORD, NY 13413-2316
(315) 737-7339
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
241695081
NY
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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