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NPI Code Detail

MEDICARE: PAMELA A ALLISON RN

MEDICARE: PAMELA A ALLISON RN
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 Nurse295532NY

General Provider Information

NPI Number : 1972769164
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA A ALLISON RN
Provider Business Mailing Address
First Line : 111 WESTFALL RD
Second Line : ROOM 183
City : ROCHESTER
State : NY
Zip : 14620-4647
Country : US
Telephone Number : 585-753-5927
Fax Number : 585-753-5181
Provider Business Practice Location Address
First Line : 111 WESTFALL RD
Second Line : ROOM 183
City : ROCHESTER
State : NY
Zip : 14620-4647
Country : US
Telephone Number : 585-753-5927
Fax Number : 585-753-5181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2008
Last Update Date : 08/12/2008

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