Basic Information
Provider Information
NPI: 1235566654
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AUFIERO
FirstName: ALISON
MiddleName: NICOLE
NamePrefix:  
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2800 MARCUS AVENUE
Address2:  
City: LAKE SUCCESS
State: NY
PostalCode: 11042
CountryCode: US
TelephoneNumber: 5166226000
FaxNumber:  
Practice Location
Address1: 2920 HEMPSTEAD TPKE
Address2:  
City: LEVITTOWN
State: NY
PostalCode: 117561402
CountryCode: US
TelephoneNumber: 5167357778
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/30/2013
LastUpdateDate: 09/30/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X036450NYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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