Provider Demographics
NPI:1336295104
Name:SAVRANSKY, ALLA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLA
Middle Name:
Last Name:SAVRANSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:457 FDR DR
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-5954
Mailing Address - Country:US
Mailing Address - Phone:212-260-0690
Mailing Address - Fax:212-254-4694
Practice Address - Street 1:457 FDR DR
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-5954
Practice Address - Country:US
Practice Address - Phone:212-260-0690
Practice Address - Fax:212-254-4694
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219115207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY861531OtherMEDICARE PTAN
NYH27605Medicare UPIN
NY861531Medicare PIN