Provider Demographics
NPI:1174754782
Name:LOOP, ALISON P (CPNP)
Entity type:Individual
Prefix:MS
First Name:ALISON
Middle Name:P
Last Name:LOOP
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Gender:F
Credentials:CPNP
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Mailing Address - Street 1:19 BRADHURST AVENUE
Mailing Address - Street 2:SUITE 2400 NORTH
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532
Mailing Address - Country:US
Mailing Address - Phone:914-304-5250
Mailing Address - Fax:914-345-1752
Practice Address - Street 1:19 BRADHURST AVENUE
Practice Address - Street 2:SUITE 2400 NORTH
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532
Practice Address - Country:US
Practice Address - Phone:914-304-5250
Practice Address - Fax:914-345-1752
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2022-03-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT004099363LP0200X
NYF382044-01363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics