Pettee, Allen Danforth

Pettee, Allen Danforth is an individual health care provider with primary practice located at 2101 Lac De Ville Blvd , Rochester NY 14618-5643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Pettee, Allen Danforth can be contacted via phone (585) 546-7266.

Contact Information

Primary practice address
2101 Lac De Ville Blvd Rochester NY 14618-5643
Fax: (585) 232-5158
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 199685 New York

Profile Details

NPI number 1780671511
LBN Legal business name Pettee, Allen Danforth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Nov 19th, 2009 - about 15 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 1780671511 NPPES
New York MEDICAID 01642644

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