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NPI Code Detail

MEDICARE: DR. ROBERT CHARLES ALLEN PT, DPT

MEDICARE: DR. ROBERT CHARLES ALLEN PT, DPT
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
1225100000XPhysical Therapist045529-01NY

General Provider Information

NPI Number : 1306479530
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT CHARLES ALLEN PT, DPT
Provider Business Mailing Address
First Line : 182 E 95TH ST APT 20C
Second Line :
City : NEW YORK
State : NY
Zip : 10128-2582
Country : US
Telephone Number : 802-282-7846
Fax Number :
Provider Business Practice Location Address
First Line : 171 KINGS HWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-1023
Country : US
Telephone Number : 718-434-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2020
Last Update Date : 01/06/2025

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