Provider Demographics
NPI:1417985045
Name:ALLEN, DAVID ANTHONY (ATC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ANTHONY
Last Name:ALLEN
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Gender:M
Credentials:ATC
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Mailing Address - Street 1:35 FORT PUTNAM ST
Mailing Address - Street 2:APT #1
Mailing Address - City:HIGHLAND FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:10928-2042
Mailing Address - Country:US
Mailing Address - Phone:845-446-0604
Mailing Address - Fax:845-938-3012
Practice Address - Street 1:639 HOWARD RD
Practice Address - Street 2:UNITED STATES MILITARY ACADEMY
Practice Address - City:WEST POINT
Practice Address - State:NY
Practice Address - Zip Code:10996
Practice Address - Country:US
Practice Address - Phone:845-938-2282
Practice Address - Fax:845-938-3012
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY00184-12255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer