Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 111809 | NY |
NPI | 1225058381 |
---|---|
Provider Name | Dennis J Allendorf |
First Address | Tenafly, NJ 07670-2618 |
Second Address | New York, NY 10027-7216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 08/07/2007 |