Individual provider · Type 1 NPI

Johnathan Albert Allen, PA-C

Surgical Physician Assistant · Bronx, NY

NPI number 1659961522 Active

Practice location

130 W Kingsbridge Rd
Bronx, NY 10468-3904

Mailing address

15764 SW 141st St
Miami, FL 33196-6717

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X026415 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1659961522

Johnathan Albert Allen, PA-C's National Provider Identifier is 1659961522, issued on Jan 24, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on Sep 15, 2021.