Provider Demographics
NPI:1871245571
Name:ALVUT, EMILY
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:ALVUT
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 1:9463 PUTNAM RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-9797
Mailing Address - Country:US
Mailing Address - Phone:585-356-5486
Mailing Address - Fax:
Practice Address - Street 1:9463 PUTNAM RD
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-9797
Practice Address - Country:US
Practice Address - Phone:585-356-5486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-24
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer