Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 220220 | NY |
N | 208600000X | Surgeon | 220220 | NY |
Y | 2086X0206X | Surgical Oncologist | 220220 | NY |
NPI | 1144211905 |
---|---|
Provider Name | Peter J Allen |
First Address | New York, NY 10017-6706 |
Second Address | New York, NY 10021-6007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 06/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I40408 | (02) |