Provider Demographics
NPI:1124223219
Name:ALESSI, CINDY ANN (MOT, OTRL)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:ANN
Last Name:ALESSI
Suffix:
Gender:F
Credentials:MOT, OTRL
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:ANN
Other - Last Name:ALESSI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:27 CAPTAINS DR
Mailing Address - Street 2:
Mailing Address - City:ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11751-4516
Mailing Address - Country:US
Mailing Address - Phone:631-521-3574
Mailing Address - Fax:
Practice Address - Street 1:27 CAPTAINS DR
Practice Address - Street 2:
Practice Address - City:ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11751-4516
Practice Address - Country:US
Practice Address - Phone:631-521-3574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008508-1171W00000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist