Provider Demographics
NPI:1013171362
Name:ALLENDE, JENYS (MD)
Entity Type:Individual
Prefix:DR
First Name:JENYS
Middle Name:
Last Name:ALLENDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JENYS
Other - Middle Name:
Other - Last Name:ALLENDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:925 S. 2ND ST.
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147
Mailing Address - Country:US
Mailing Address - Phone:301-520-1943
Mailing Address - Fax:
Practice Address - Street 1:925 S. 2ND ST.
Practice Address - Street 2:A2
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147
Practice Address - Country:US
Practice Address - Phone:301-520-1943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPENDING2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry