Provider Demographics
NPI:1558700542
Name:NATTIS, ALANNA SARI (DO)
Entity Type:Individual
Prefix:DR
First Name:ALANNA
Middle Name:SARI
Last Name:NATTIS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 MERRICK AVENUE, SUITE 80N
Mailing Address - Street 2:OPHTHALMIC CONSULTANTS OF LONG ISLAND
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590
Mailing Address - Country:US
Mailing Address - Phone:516-804-5200
Mailing Address - Fax:516-240-6540
Practice Address - Street 1:865 MERRICK AVENUE
Practice Address - Street 2:SUITE 80N
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590
Practice Address - Country:US
Practice Address - Phone:516-804-5200
Practice Address - Fax:516-240-6540
Is Sole Proprietor?:No
Enumeration Date:2013-06-23
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY271296207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program