Richard Anthony Allen
Individual provider Active NPI Orthotist · Tuckahoe, NY
NPI 1497873988 · NPPES record last updated Mar 14, 2017
Key facts
- NPI
- 1497873988
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthotist 222Z00000X
- Practice address
- 115 Main Street
Suite 202
Tuckahoe, NY 10707 - Phone
- (845) 264-9569
- Fax
- (845) 236-3704
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brythonic LLC | Orthotist | Current | Accepting new patients |
| Evolimb Technologies LLC | Orthotist | Current | Accepting new patients |
| Brythonic | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | Yes | ||
| Prosthetist | 224P00000X |
Addresses
Primary practice location
115 Main Street
Suite 202
Tuckahoe, NY 10707
Mailing address
7 Mill Pond Rd
Marlboro, NY 12542-5153
Phone (845) 264-9569
Other providers in Tuckahoe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 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.