Individual
DR. ALAN BLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 EAST 17 STREET, BROOKLYN, NY 11230
(718) 434-4600
(718) 434-6261
Mailing address
758 HAMPTON RD, WOODMERE, NY 11598-2519
(718) 434-4600
(718) 434-6261
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010451-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010451
—
NY
Enumeration date
12/04/2006
Last updated
07/08/2007
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