Most Relevant Information
Provider Data
| NPI Number: | 1003255290 |
| Provider Name: | TERRY ALLEN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 310635 |
Most Important Dates
| Enumeration Date: | 06/20/2013 |
| Last Updated: | 06/20/2013 |
Provider Practice Location
8825 163RD ST
JAMAICA
NY
114324046
Practice Location Phone/Fax
| Phone: | 7187390045 |
| Fax: |
Provider Mailing Location
2051 E 56TH ST
BROOKLYN
NY
112344720
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |