Provider Demographics
NPI:1609458397
Name:BROWNE, ALLEGRA BRIDGITTE (OTR/L)
Entity Type:Individual
Prefix:
First Name:ALLEGRA
Middle Name:BRIDGITTE
Last Name:BROWNE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:CENTRAL ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11722-4350
Mailing Address - Country:US
Mailing Address - Phone:631-245-7217
Mailing Address - Fax:
Practice Address - Street 1:144 WILLOW ST
Practice Address - Street 2:
Practice Address - City:CENTRAL ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11722-4350
Practice Address - Country:US
Practice Address - Phone:631-245-7217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025206225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist