1740641505 NPI number — MRS. SIMONE SAMANTA ALLEYNE PEER SPACIALIST

Table of content: MRS. SIMONE SAMANTA ALLEYNE PEER SPACIALIST (NPI 1740641505)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740641505 NPI number — MRS. SIMONE SAMANTA ALLEYNE PEER SPACIALIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALLEYNE
Provider First Name:
SIMONE
Provider Middle Name:
SAMANTA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PEER SPACIALIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ALLEYNE
Provider Other First Name:
SIMONE
Provider Other Middle Name:
SAMANTA
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PEER SPECIALIST
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1740641505
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/08/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9-15 ADRIAN AVE APT4J
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRONX
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10463
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-679-5427
Provider Business Mailing Address Fax Number:
718-884-2901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9 ADRIAN AVE APT 4J
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10463-6561
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-884-2992
Provider Business Practice Location Address Fax Number:
718-884-2901
Provider Enumeration Date:
03/08/2016

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: 101YM0800X , with the licence number:  NYCPS-P247 , 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)





Copyright © 2007-2025 www.npivalidator.com