Provider Demographics
NPI:1356644140
Name:ALLEN, FLOYD V (LMSW)
Entity Type:Individual
Prefix:MR
First Name:FLOYD
Middle Name:V
Last Name:ALLEN
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3103 FAIRFIELD AVE
Mailing Address - Street 2:11D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-3242
Mailing Address - Country:US
Mailing Address - Phone:646-337-8283
Mailing Address - Fax:
Practice Address - Street 1:51 W 86TH ST
Practice Address - Street 2:104A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3613
Practice Address - Country:US
Practice Address - Phone:646-337-8283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-16
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062960-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker