Individual
ALLYSON LATVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
175 W 72ND ST, NEW YORK, NY 10023-3203
(877) 996-2326
Mailing address
175 W 72ND ST, NEW YORK, NY 10023-3203
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
10/24/2025
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