Provider Demographics
NPI:1043911480
Name:D'ALESSIO, TRINITY ANNE (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:TRINITY
Middle Name:ANNE
Last Name:D'ALESSIO
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 TWIN LN N
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-1944
Mailing Address - Country:US
Mailing Address - Phone:917-561-8830
Mailing Address - Fax:
Practice Address - Street 1:2325 31ST ST FL 5
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-2299
Practice Address - Country:US
Practice Address - Phone:718-721-6166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYL-308241163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant