Provider Demographics
NPI:1952184343
Name:FILATOFF, ALLY
Entity Type:Individual
Prefix:MRS
First Name:ALLY
Middle Name:
Last Name:FILATOFF
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 1:7762 OLD SYCAMORE LN
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-4431
Mailing Address - Country:US
Mailing Address - Phone:419-290-7678
Mailing Address - Fax:
Practice Address - Street 1:2425 PARLIAMENT SQ
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-1281
Practice Address - Country:US
Practice Address - Phone:419-290-7678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker