1689926875 NPI number — MS. KERRY ALLOCCO MCCHESNEY R.N.

Table of content: MS. KERRY ALLOCCO MCCHESNEY R.N. (NPI 1689926875)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689926875 NPI number — MS. KERRY ALLOCCO MCCHESNEY R.N.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALLOCCO MCCHESNEY
Provider First Name:
KERRY
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
R.N.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ALLOCCO
Provider Other First Name:
KERRY
Provider Other Middle Name:
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1689926875
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/11/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
BOX 270 ROUTE 11 A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEDROW
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13120
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-469-0091
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ROUTE 11A, BOX 270
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEDROW
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-469-0091
Provider Business Practice Location Address Fax Number:
315-469-0994
Provider Enumeration Date:
10/11/2012

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: 163W00000X , with the licence number:  497358 , 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)





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