Provider Demographics
NPI:1316572704
Name:SZCZESNIAK, ALYSON (BA,MA,ATR-BC,LCAT)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:
Last Name:SZCZESNIAK
Suffix:
Gender:F
Credentials:BA,MA,ATR-BC,LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 PARKDALE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11703-3307
Mailing Address - Country:US
Mailing Address - Phone:631-860-4519
Mailing Address - Fax:
Practice Address - Street 1:73 PARKDALE DR
Practice Address - Street 2:
Practice Address - City:NORTH BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11703-3307
Practice Address - Country:US
Practice Address - Phone:631-860-4519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-06
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist