National Provider Identifier

Jacqueline V Allen

Jacqueline V Allen is listed in the NPPES registry with a primary specialty of Specialist in Kenmore, NY and a listed phone number of (716) 876-3902.

NPI 1811259385Kenmore, NYSpecialist

Profile Overview

NPI
1811259385
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 11, 2012
Last Updated
June 11, 2012

Practice Location

  • 1 Delaware RD
  • Kenmore, NY 14217-2743

Phone: (716) 876-3902

Specialties

  • Specialist (174400000X)
Full Record
NPI
1811259385
Entity Type
Individual
Last Name
Allen
First Name
Jacqueline
Middle Name
V
Name Prefix
Miss
Mailing Street Address
1 Delaware RD
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2743
Mailing Country
US
Mailing Phone
(716) 876-3902
Practice Street Address
1 Delaware RD
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-2743
Practice Country
US
Practice Phone
(716) 876-3902
Enumeration Date
June 11, 2012
Last Updated
June 11, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)