Provider Demographics
NPI:1043718422
Name:HEHIR, ALISA MARIA-ROMERO
Entity Type:Individual
Prefix:MRS
First Name:ALISA
Middle Name:MARIA-ROMERO
Last Name:HEHIR
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ALISA
Other - Middle Name:MARIA
Other - Last Name:ROMERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3941 BEA COURT
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 E GATE BLVD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-2105
Practice Address - Country:US
Practice Address - Phone:516-745-8070
Practice Address - Fax:516-745-8070
Is Sole Proprietor?:No
Enumeration Date:2018-01-31
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist