Basic Information
Provider Information
NPI: 1477849883
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LENNOX
FirstName: ALISON
MiddleName: T
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 40 SUNSHINE COTTAGE RD # 1N-E29
Address2:  
City: VALHALLA
State: NY
PostalCode: 105951524
CountryCode: US
TelephoneNumber: 9144937585
FaxNumber: 9145942350
Practice Location
Address1: 40 SUNSHINE COTTAGE RD RM 1N-E29
Address2:  
City: VALHALLA
State: NY
PostalCode: 10595
CountryCode: US
TelephoneNumber: 9144937585
FaxNumber: 9145942350
Other Information
ProviderEnumerationDate: 06/23/2011
LastUpdateDate: 11/20/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X293398NYN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207R00000X248358MAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RP1001X293398NYY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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