MEDICARE: DR. RACHEL ALLEN M.D.

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	207QA0401X	Addiction Medicine (Family Medicine) Physician	305772	NY

General Provider Information

NPI Number	:	1952752503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHEL ALLEN M.D.

Provider Business Mailing Address
First Line	:	4988 STATE HIGHWAY 30
Second Line	:
City	:	AMSTERDAM
State	:	NY
Zip	:	12010-7520
Country	:	US
Telephone Number	:	518-843-4410
Fax Number	:	518-841-3654

Provider Business Practice Location Address
First Line	:	4988 STATE HIGHWAY 30
Second Line	:
City	:	AMSTERDAM
State	:	NY
Zip	:	12010-7520
Country	:	US
Telephone Number	:	518-843-4410
Fax Number	:	518-841-3654

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

Provider Enumeration Date	:	06/24/2016
Last Update Date	:	12/12/2025

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