Doctor Name: | ALLYSE DANIELLE BARLOW |
NPI Number: | 1740530492 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | |
Business Practice Address: | 1351 Route 55 Ste 200 Lagrangeville, NY - 125405144 |
Business Phone Number: | 8454759500 |
Business Fax Number: | |
Mailing Address: | 217 Porter St, EASTON |
State: | PA |
Postal Code: | 180427654 |
Phone Number: | 6107305241 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2012 |
NPI Last Update Date: | 09/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |