Individual
MEGAN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4860 ONONDAGA RD, SYRACUSE, NY 13215-2241
(315) 430-9611
Mailing address
4391 OLYMPUS HTS, SYRACUSE, NY 13215-2460
(315) 430-9611
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
518542-1
NY
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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