Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 0009600097 | NC |
N | 2080P0201X | Pediatric Allergist | 306604 | NY |
N | 2080P0201X | Pediatric Allergist | 429162 | PA |
NPI | 1164415477 |
---|---|
Provider Name | Allison L Freeman |
First Address | Buffalo, NY 14203-1009 |
Second Address | Buffalo, NY 14203-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 30/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
06077756 | (05) | NY |
1017188510002 | (05) | PA |
890256B | (05) | NC |
G23328 | (02) |