Provider Demographics
NPI:1790115285
Name:JOSEPH-ALLEN, ALISON JUDI
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:JUDI
Last Name:JOSEPH-ALLEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ALISON
Other - Middle Name:JUDI
Other - Last Name:JOSEPH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2160 MATTHEWS AVE APT 2N
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-2005
Mailing Address - Country:US
Mailing Address - Phone:347-398-5677
Mailing Address - Fax:
Practice Address - Street 1:2160 MATTHEWS AVE APT 2N
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-2005
Practice Address - Country:US
Practice Address - Phone:347-398-5677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency