Provider Demographics
NPI:1376173997
Name:KNAUF, ALISON B (LPN)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:B
Last Name:KNAUF
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:B
Other - Last Name:KNAUF-PERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:1099 JAY ST STE 202
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14611-1153
Mailing Address - Country:US
Mailing Address - Phone:585-328-0834
Mailing Address - Fax:585-436-0103
Practice Address - Street 1:1099 JAY ST STE 202
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14611-1153
Practice Address - Country:US
Practice Address - Phone:585-328-0834
Practice Address - Fax:585-436-0103
Is Sole Proprietor?:No
Enumeration Date:2020-01-23
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303294164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse