Provider Demographics
NPI:1154074136
Name:ALYSSA HARIPRASHAD PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:ALYSSA HARIPRASHAD PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HARIPRASHAD
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:516-526-7556
Mailing Address - Street 1:321 W 54TH ST APT 503
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-5228
Mailing Address - Country:US
Mailing Address - Phone:516-526-7556
Mailing Address - Fax:
Practice Address - Street 1:350 7TH AVE RM 500
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-1944
Practice Address - Country:US
Practice Address - Phone:516-526-7556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty