1154381838 NPI number — HARVEY HAMILTON ALLEN JR. MD

Table of content: HARVEY HAMILTON ALLEN JR. MD (NPI 1154381838)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154381838 NPI number — HARVEY HAMILTON ALLEN JR. MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALLEN
Provider First Name:
HARVEY
Provider Middle Name:
HAMILTON
Provider Name Prefix Text:
Provider Name Suffix Text:
JR.
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154381838
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/25/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
116 BUSINESS PARK DRIVE
Provider Second Line Business Mailing Address:
1ST FLOOR
Provider Business Mailing Address City Name:
UTICA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13502-6313
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-624-7000
Provider Business Mailing Address Fax Number:
315-793-1129

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
116 BUSINESS PARK DRIVE
Provider Second Line Business Practice Location Address:
1ST FLOOR
Provider Business Practice Location Address City Name:
UTICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13502-6313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-624-7000
Provider Business Practice Location Address Fax Number:
315-793-1129
Provider Enumeration Date:
03/25/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  36488 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RG0100X , with the licence number: 36488 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RG0100X , with the licence number: 291947 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8910741 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10741 . This is a "BCBS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: P00470723 . This is a "RAIL ROAD MEDICARE" identifier . This identifiers is of the category "OTHER".