Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NX0800X | Chiropractor Orthopedic Specialist | 1512 | NY |
NPI | 1013999812 |
---|---|
Provider Name | Dr. Gil C Allen |
First Address | Flushing, NY 11354-6505 |
Second Address | Flushing, NY 11354-6505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2005 |
Last Update Date | 02/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01721379 | (05) | NY |