Organization · NPI-2

Allara Medical Group PA

Obstetrics & Gynecology, Gynecology · New York, NY

NPI number1700450558
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1700450558
Entity type
Organization (NPI-2)
Legal business name
Allara Medical Group PA
Organization subpart
No
Enumeration date
May 17, 2021
Certification date
Jul 13, 2026
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VG0400X Obstetrics & Gynecology, Gynecology––Yes

Practice location

520 Broadway Fl 7
New York, NY 10012-4436

Phone 201-564-5109

Mailing address

520 Broadway Fl 7
New York, NY 10012-4436

Phone 201-564-5109 · Fax 240-201-1296

Authorized official

Kenneth Alan Blank
Medical Director
2404325123

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