Allen, Deanna Raymond

Allen, Deanna Raymond is an individual health care provider with primary practice located at 100 Clinton St , Fayetteville NY 13066-2045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Allen, Deanna Raymond can be contacted via phone (315) 218-5909.

Contact Information

Primary practice address
100 Clinton St Fayetteville NY 13066-2045
Phone: (315) 218-5909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 06572-1 New York

Profile Details

NPI number 1407894520
LBN Legal business name Allen, Deanna Raymond
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Sep 17th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407894520 NPPES
New York MEDICAID 1336163963

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