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Jacqueline V Allen

Specialist in Kenmore, NY. Individual provider (NPI-1).

NPI number1811259385
StatusActive
Last updated in NPPESJun 11, 2012

Details

NPI
1811259385
Entity type
Individual (NPI-1)
Name
Miss Jacqueline V Allen
Sex
Female
Sole proprietor
No
Enumeration date
Jun 11, 2012
Last updated
Jun 11, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist–NYYes

Practice location

1 Delaware Rd
Kenmore, NY 14217-2743

Phone 716-876-3902

Mailing address

1 Delaware Rd
Kenmore, NY 14217-2743

Phone 716-876-3902

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Specialist providers in Kenmore, NY

All 36 Specialist providers in Kenmore · All 1,108 providers in Kenmore

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