Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 280353 | NY |
NPI | 1073934832 |
---|---|
Provider Name | Catherine Allen |
First Address | Hawthorne, NY 10532-2140 |
Second Address | Poughkeepsie, NY 12601-1154 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2013 |
Last Update Date | 22/10/2019 |