Individual
DR. ALLA BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 WARREN ST, NEW YORK, NY 10007
(212) 226-7666
(718) 227-0132
Mailing address
11 PARK PLACE 12TH FLOOT, SUITE 1200, NEW YORK, NY 10007
(212) 226-7666
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
204065
NY
208000000X
Pediatrics Physician
Primary
25MA07053800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01840500
—
NY
Enumeration date
11/22/2005
Last updated
02/02/2017
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