Provider Demographics
NPI:1003846643
Name:ALIANI, MICHELE (PT,ATC, CSCS)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:ALIANI
Suffix:
Gender:F
Credentials:PT,ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 FURMAN PL
Mailing Address - Street 2:
Mailing Address - City:EAST NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:11732-1313
Mailing Address - Country:US
Mailing Address - Phone:516-922-0526
Mailing Address - Fax:516-922-0526
Practice Address - Street 1:5 FURMAN PL
Practice Address - Street 2:
Practice Address - City:EAST NORWICH
Practice Address - State:NY
Practice Address - Zip Code:11732-1313
Practice Address - Country:US
Practice Address - Phone:516-972-8897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013435-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist