Provider Demographics
NPI:1720400260
Name:THORNE, ALLISON J (LPN)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:J
Last Name:THORNE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:J
Other - Last Name:STERLING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:PO BOX 200812
Mailing Address - Street 2:
Mailing Address - City:SOUTH OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11420-0812
Mailing Address - Country:US
Mailing Address - Phone:347-510-5202
Mailing Address - Fax:
Practice Address - Street 1:13525 117TH ST
Practice Address - Street 2:
Practice Address - City:SOUTH OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11420-3620
Practice Address - Country:US
Practice Address - Phone:347-510-5202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-17
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10-309247372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion