Provider Demographics
NPI:1710169867
Name:CAPLOWAITH, ALLISON
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:CAPLOWAITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3058 STEINWAY ST
Mailing Address - Street 2:SUITE 3R
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3836
Mailing Address - Country:US
Mailing Address - Phone:908-377-4208
Mailing Address - Fax:
Practice Address - Street 1:3058 STEINWAY ST
Practice Address - Street 2:SUITE 3R
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-3836
Practice Address - Country:US
Practice Address - Phone:908-377-4208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006404133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered