Provider Demographics
NPI:1093270043
Name:ALIMARIO, NADINE (PTA)
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:ALIMARIO
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 S OCEAN AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-4558
Mailing Address - Country:US
Mailing Address - Phone:516-442-7900
Mailing Address - Fax:
Practice Address - Street 1:121 S OCEAN AVE STE 2
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-4558
Practice Address - Country:US
Practice Address - Phone:516-442-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant