Provider Demographics
NPI:1063983864
Name:BROWN, ALLENSIA ANNETTE
Entity type:Individual
Prefix:
First Name:ALLENSIA
Middle Name:ANNETTE
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:368 LANGFIELD DR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-3459
Mailing Address - Country:US
Mailing Address - Phone:716-427-2095
Mailing Address - Fax:
Practice Address - Street 1:368 LANGFIELD DR
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-3459
Practice Address - Country:US
Practice Address - Phone:716-427-2095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist