Individual
MRS. ALYSA LONGO
Active
Individual
MRS. ALYSA LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010661
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013701
ORTHONET AETNA HMO
—
01
—
0222701
ORTHONET CIGNA HMO
—
01
—
109230200
US DEPT OF LABOR
—
01
—
1181640
AETNA HMO
—
01
—
133542448
PHCS
—
01
—
133542448-08
LOCAL 1199
—
01
—
133542448-09
FIRST HEALTH/ICM
—
01
—
4479299
CIGNA PPO
—
01
—
5309475
AETNA PPO
—
01
—
QP3251
EMPIRE BC/BS
NY
Enumeration date
06/15/2005
Last updated
04/27/2015
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