Provider Demographics
NPI:1023592326
Name:LUTHER, ALLISON LEIGH (PA-C)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:LEIGH
Last Name:LUTHER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 JEANNE MARIE GDNS APT E
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-1915
Mailing Address - Country:US
Mailing Address - Phone:845-826-0329
Mailing Address - Fax:
Practice Address - Street 1:229 ENGLE ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2409
Practice Address - Country:US
Practice Address - Phone:201-567-8999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-21
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical