Individual provider · Type 1 NPI

Audette A. Allicock

Specialist · Brooklyn, NY

NPI number 1255773180 Active

Practice location

655 E 83rd St, 2nd Fl
Brooklyn, NY 11236-3435

Call (917) 588-9025 Map

Fax (718) 467-0246

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1393552 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1255773180

Audette A. Allicock's National Provider Identifier is 1255773180, issued on Jul 19, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 19, 2013.