Provider Demographics
NPI:1548217102
Name:ALEO, EDWARD L (PHD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:L
Last Name:ALEO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 406153
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-4844
Mailing Address - Country:US
Mailing Address - Phone:845-338-8686
Mailing Address - Fax:845-339-4762
Practice Address - Street 1:206 HENRY ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-4844
Practice Address - Country:US
Practice Address - Phone:845-338-8686
Practice Address - Fax:845-339-4762
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000058-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYM00591Medicare PIN