MEDICARE: ALLISON J THORNE LPN

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
1	372600000X	Adult Companion	10-309247	NY

General Provider Information

NPI Number	:	1720400260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON J THORNE LPN

Provider Business Mailing Address
First Line	:	PO BOX 200812
Second Line	:
City	:	SOUTH OZONE PARK
State	:	NY
Zip	:	11420-0812
Country	:	US
Telephone Number	:	347-510-5202
Fax Number	:

Provider Business Practice Location Address
First Line	:	13525 117TH ST
Second Line	:
City	:	SOUTH OZONE PARK
State	:	NY
Zip	:	11420-3620
Country	:	US
Telephone Number	:	347-510-5202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2014
Last Update Date	:	03/03/2014

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