Individual
ALYSSA MICHELE ERCOLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 SOMERSET AVE, EAST ISLIP, NY 11730-2030
(516) 721-6051
Mailing address
14 SOMERSET AVE, EAST ISLIP, NY 11730-2030
(516) 721-6051
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
017413
NY
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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