Provider Demographics
NPI:1861272023
Name:ALLEN, ARMIN WILLIAM BRAND
Entity type:Individual
Prefix:
First Name:ARMIN
Middle Name:WILLIAM BRAND
Last Name:ALLEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 JAFFRAY PARK
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:10533-1709
Mailing Address - Country:US
Mailing Address - Phone:917-705-4480
Mailing Address - Fax:917-705-4480
Practice Address - Street 1:39 JAFFRAY PARK
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NY
Practice Address - Zip Code:10533-1709
Practice Address - Country:US
Practice Address - Phone:917-705-4480
Practice Address - Fax:917-705-4480
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program