Allendorf, John Dennis
Allendorf, John Dennis is an sole proprietor health care provider with primary practice located at 120 Mineola Blvd Suite 320, Mineola NY 11501-4064. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Allendorf, John Dennis can be contacted via phone (516) 663-3300.Contact Information
Primary practice address
120 Mineola Blvd Suite 320
Mineola NY 11501-4064
Phone: (516) 663-3300
Fax: (516) 663-2136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 212487 | New York |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 212487 | New York |
Profile Details
| NPI number | 1740364397 |
|---|---|
| LBN Legal business name | Allendorf, John Dennis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Dec 20th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740364397 | NPPES |
| New York | MEDICAID | 02288659 |
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