Healthcare Provider Details

I. General information

NPI: 1154239598
Provider Name (Legal Business Name): ZAVIA ALLEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

178 GRANDVIEW DR
COBLESKILL NY
12043-5144
US

IV. Provider business mailing address

191 HICKORY HILL RD
FORT PLAIN NY
13339-2024
US

V. Phone/Fax

Practice location:
  • Phone: 518-254-3456
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: