Provider Demographics
NPI:1578647392
Name:BYAM, ALANA M (ANP)
Entity Type:Individual
Prefix:MS
First Name:ALANA
Middle Name:M
Last Name:BYAM
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
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Mailing Address - Street 1:450 CLARKSON AVE
Mailing Address - Street 2:BOX 40
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203
Mailing Address - Country:US
Mailing Address - Phone:718-221-5297
Mailing Address - Fax:718-270-8204
Practice Address - Street 1:450 CLARKSON AVE
Practice Address - Street 2:BOX 40
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-221-5297
Practice Address - Fax:718-270-8204
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF301299363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02270315Medicaid
NY1570G1Medicare ID - Type Unspecified
Q64824Medicare UPIN