Healthcare Provider Details

I. General information

NPI: 1790602902
Provider Name (Legal Business Name): LINDSAY ALLAHAM
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: LINDSAY ALLAHAM

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 1ST AVE
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

245 E 80TH ST APT 5E
NEW YORK NY
10075-0508
US

V. Phone/Fax

Practice location:
  • Phone: 646-929-7870
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberF383921
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: