Provider Demographics
NPI:1245524628
Name:MONTALVAN, ALANNA (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ALANNA
Middle Name:
Last Name:MONTALVAN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:MS
Other - First Name:ALANNA
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13 BRYCE AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-2013
Mailing Address - Country:US
Mailing Address - Phone:929-409-0928
Mailing Address - Fax:
Practice Address - Street 1:125 E 23RD ST STE 300
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4588
Practice Address - Country:US
Practice Address - Phone:646-650-5032
Practice Address - Fax:888-683-3660
Is Sole Proprietor?:No
Enumeration Date:2011-06-03
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF401963-1363LP0808X, 363LP0808X
NY641262163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health