Provider Demographics
NPI:1962239913
Name:TOLKEN, ALLYSON FAITH (PA-S)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:FAITH
Last Name:TOLKEN
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 HOFSTRA UNIVERSITY RM 132
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11549-1130
Mailing Address - Country:US
Mailing Address - Phone:516-463-4074
Mailing Address - Fax:
Practice Address - Street 1:113 HOFSTRA UNIVERSITY RM 132
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11549-1130
Practice Address - Country:US
Practice Address - Phone:516-463-4074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant