Provider Demographics
NPI:1235522095
Name:ALIPIO, VAYSA
Entity Type:Individual
Prefix:
First Name:VAYSA
Middle Name:
Last Name:ALIPIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 N CORONA AVE # 2F
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-2622
Mailing Address - Country:US
Mailing Address - Phone:702-335-2847
Mailing Address - Fax:718-425-0497
Practice Address - Street 1:4006A WARREN ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-1735
Practice Address - Country:US
Practice Address - Phone:718-532-4049
Practice Address - Fax:718-425-0497
Is Sole Proprietor?:No
Enumeration Date:2015-03-17
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038663225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist