Healthcare Provider Details

I. General information

NPI: 1568901437
Provider Name (Legal Business Name): MS. ALLISON LYNNE CURLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2017
Last Update Date: 02/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

366 OAKLAND AVE
STATEN ISLAND NY
10310-2133
US

IV. Provider business mailing address

366 OAKLAND AVE
STATEN ISLAND NY
10310
US

V. Phone/Fax

Practice location:
  • Phone: 917-613-5309
  • Fax:
Mailing address:
  • Phone: 917-613-5309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number04328937
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: