MEDICARE: DR. GIL C ALLEN D.C, PH.D., CDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NX0800X	Orthopedic Chiropractor	1512	NY
2	133N00000X	Nutritionist	3769	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013999812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GIL C ALLEN D.C, PH.D., CDN

Provider Business Mailing Address
First Line	:	14201 37TH AVE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-6505
Country	:	US
Telephone Number	:	718-461-7788
Fax Number	:	718-461-3343

Provider Business Practice Location Address
First Line	:	14201 37TH AVE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-6505
Country	:	US
Telephone Number	:	718-461-7788
Fax Number	:	718-461-3343

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	04/02/2009

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