Healthcare Provider Details

I. General information

NPI: 1740727684
Provider Name (Legal Business Name): JANET ALLEN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2017
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12043 228TH ST
CAMBRIA HEIGHTS NY
11411-2135
US

IV. Provider business mailing address

12043 228TH ST
CAMBRIA HEIGHTS NY
11411-2135
US

V. Phone/Fax

Practice location:
  • Phone: 646-399-0505
  • Fax:
Mailing address:
  • Phone: 646-399-0505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberF408721-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: