Provider Demographics
NPI:1679741961
Name:ALLEN, SYBIL ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:SYBIL
Middle Name:ANN
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 405 BOX 1356
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09034-0014
Mailing Address - Country:US
Mailing Address - Phone:315-351-0333
Mailing Address - Fax:
Practice Address - Street 1:U.S. ARMY CLINIC
Practice Address - Street 2:BUILDING 8740-8742
Practice Address - City:BAUMHOLDER
Practice Address - State:GERMANY
Practice Address - Zip Code:55774
Practice Address - Country:DE
Practice Address - Phone:04967-836-8813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY175519-1207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine