Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 175519-1 | NY |
NPI | 1679741961 |
---|---|
Provider Name | Dr. Sybil Ann Allen |
First Address | Apo, AE 09034-0014 |
Second Address | Baumholder, GERMANY 55774 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2008 |
Last Update Date | 18/06/2010 |