Provider Demographics
NPI:1063818250
Name:METS, ALLA
Entity Type:Individual
Prefix:
First Name:ALLA
Middle Name:
Last Name:METS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2925 W 5TH ST
Mailing Address - Street 2:APT 16G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-3969
Mailing Address - Country:US
Mailing Address - Phone:347-217-3169
Mailing Address - Fax:
Practice Address - Street 1:2925 W 5TH ST
Practice Address - Street 2:APT 16G
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-3969
Practice Address - Country:US
Practice Address - Phone:347-217-3169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-14
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1145904174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist