National Provider Identifier

Laurel Allen

Laurel Allen is listed in the NPPES registry with a primary specialty of Specialist in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1215649447Victor, NYSpecialist

Profile Overview

NPI
1215649447
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
December 19, 2022
Last Updated
December 19, 2022

Practice Location

  • 590 Fishers Station Dr Ste 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Mailing Address

  • 6901 Blue Cut RD
  • Newark, NY 14513-9122

Specialties

  • Specialist (174400000X)
Full Record
NPI
1215649447
Entity Type
Individual
Last Name
Allen
First Name
Laurel
Mailing Street Address
6901 Blue Cut RD
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-9122
Mailing Country
US
Mailing Phone
(585) 794-3232
Practice Street Address
590 Fishers Station Dr Ste 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Enumeration Date
December 19, 2022
Last Updated
December 19, 2022
Sex
Female
Sole Proprietor
No
Certification Date
December 19, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)