Provider Demographics
NPI:1841499092
Name:ALLMENDINGER, NIKKI (MD)
Entity type:Individual
Prefix:
First Name:NIKKI
Middle Name:
Last Name:ALLMENDINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:47 NEW SCOTLAND AVE # MC88
Mailing Address - Street 2:ALBANY MEDICAL CENTER - THE CHILDREN'S HOSPITAL
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3412
Mailing Address - Country:US
Mailing Address - Phone:518-262-8831
Mailing Address - Fax:518-262-6453
Practice Address - Street 1:47 NEW SCOTLAND AVE # MC88
Practice Address - Street 2:ALBANY MEDICAL CENTER - THE CHILDREN'S HOSPITAL
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3412
Practice Address - Country:US
Practice Address - Phone:518-262-8831
Practice Address - Fax:518-262-6453
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2011-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC7-00041172080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMT190566OtherMD LICENSE
DEC7-0004117OtherLICENSE