Provider Demographics
NPI:1568075901
Name:ECKEY, ALLURA GAYLE (CPM)
Entity Type:Individual
Prefix:MRS
First Name:ALLURA
Middle Name:GAYLE
Last Name:ECKEY
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 HIGHLANDS DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11968-1601
Mailing Address - Country:US
Mailing Address - Phone:631-513-5430
Mailing Address - Fax:
Practice Address - Street 1:71 DUGWAY RD
Practice Address - Street 2:
Practice Address - City:BROWNFIELD
Practice Address - State:ME
Practice Address - Zip Code:04010-4511
Practice Address - Country:US
Practice Address - Phone:631-513-5430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECPM674176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife