Provider Demographics
NPI:1699016709
Name:ALLEN, DARLENE (CNA)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:786 WINTER AVE
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-3315
Mailing Address - Country:US
Mailing Address - Phone:516-782-3488
Mailing Address - Fax:
Practice Address - Street 1:786 WINTER AVE
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-3315
Practice Address - Country:US
Practice Address - Phone:516-782-3488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY340315191293E376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide