Individual
JENNA D'ALESSANDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1895 WALT WHITMAN RD, MELVILLE, NY 11747-3031
(631) 577-3400
Mailing address
1895 WALT WHITMAN RD, MELVILLE, NY 11747-3031
(631) 577-3400
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
038013
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11788700
CAQH ID
NY
Enumeration date
06/08/2017
Last updated
06/16/2018
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