Provider Demographics
NPI:1871972679
Name:SMITH, ALLISON (CNIM)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 KNOLLWOOD RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-1916
Mailing Address - Country:US
Mailing Address - Phone:914-949-8501
Mailing Address - Fax:914-949-8502
Practice Address - Street 1:399 KNOLLWOOD RD
Practice Address - Street 2:SUITE 108
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-1916
Practice Address - Country:US
Practice Address - Phone:914-949-8501
Practice Address - Fax:914-949-8502
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CNIM#2743246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic