Individual provider · NPI-1

Alanna Blau

Specialist/Technologist, Athletic Trainer · Brooklyn, NY

NPI number1730759382
StatusActive
Last updated in NPPESJun 27, 2021

Details

NPI
1730759382
Entity type
Individual (NPI-1)
Name
Alanna Blau
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 27, 2021
Certification date
Jun 27, 2021
Last updated
Jun 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer257007366NYYes

Practice location

120 96th St Apt 6l
Brooklyn, NY 11209-7518

Phone 347-961-9083

Mailing address

120 96th St Apt 6l
Brooklyn, NY 11209-7518

Phone 347-961-9083

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