Provider Demographics
NPI:1659855062
Name:LYNNETTE ALLEN ADULT CARE, NP, PC
Entity Type:Organization
Organization Name:LYNNETTE ALLEN ADULT CARE, NP, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:516-294-6200
Mailing Address - Street 1:734 WALT WHITMAN RD STE 101
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-2216
Mailing Address - Country:US
Mailing Address - Phone:516-294-6200
Mailing Address - Fax:
Practice Address - Street 1:734 WALT WHITMAN RD STE 101
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-2216
Practice Address - Country:US
Practice Address - Phone:516-294-6200
Practice Address - Fax:888-522-2854
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LYNNETTE ALLEN ADULT CARE, NP, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-20
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty