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NPI Code Detail

MEDICARE: ALLISON CARD R.N.

MEDICARE: ALLISON CARD R.N.
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
1163W00000XRegistered Nurse676207NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245789775
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON CARD R.N.
Provider Business Mailing Address
First Line : 913 MAURA LN
Second Line :
City : GLENVILLE
State : NY
Zip : 12302-2746
Country : US
Telephone Number : 518-280-1004
Fax Number :
Provider Business Practice Location Address
First Line : 1121 FOREST RD
Second Line :
City : SCHENECTADY
State : NY
Zip : 12303-1219
Country : US
Telephone Number : 518-370-8182
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2016
Last Update Date : 09/26/2016

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