Provider Demographics
NPI:1033606009
Name:GANDIOSI, ALLISON (MS SPECIAL EDUCATION)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:GANDIOSI
Suffix:
Gender:F
Credentials:MS SPECIAL EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 N COLEMAN RD
Mailing Address - Street 2:
Mailing Address - City:CENTEREACH
Mailing Address - State:NY
Mailing Address - Zip Code:11720-3064
Mailing Address - Country:US
Mailing Address - Phone:516-815-2401
Mailing Address - Fax:
Practice Address - Street 1:81 N COLEMAN RD
Practice Address - Street 2:
Practice Address - City:CENTEREACH
Practice Address - State:NY
Practice Address - Zip Code:11720-3064
Practice Address - Country:US
Practice Address - Phone:516-815-2401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-16
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist