Allison Laura Breen
Individual provider Active NPI Licensed Practical Nurse · Newark, NY
NPI 1154838191 · NPPES record last updated Dec 29, 2017
Key facts
- NPI
- 1154838191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 320240 (NY)
- Practice address
- 123 South Ave
Newark, NY 14513-1938 - Phone
- (315) 573-9597
- NPI assigned
- Dec 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 320240 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 320240 | NY | Yes |
Addresses
Primary practice location
123 South Ave
Newark, NY 14513-1938
Mailing address
123 South Ave
Newark, NY 14513-1938
Other providers in Newark, NY
- Michele Bowersox
- Ronald James Boyd
- Timothy Francis Brady
- Wade Jason Brandt
- Lynn Brazee
- Elizabeth Louise Brewer
- Taylor Jade Brignall
- Felicity J Brockhuizen
- Caitlin Ryan Brown
- Stevie Jerome Brown Jr.
All providers in Newark, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.