Provider Demographics
NPI:1699203992
Name:EASTON, ALISON KAY
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:KAY
Last Name:EASTON
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 1:35 TRACY RD
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-3417
Mailing Address - Country:US
Mailing Address - Phone:845-750-1808
Mailing Address - Fax:
Practice Address - Street 1:35 TRACY RD
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-3417
Practice Address - Country:US
Practice Address - Phone:845-750-1808
Practice Address - Fax:845-750-1808
Is Sole Proprietor?:No
Enumeration Date:2017-05-31
Last Update Date:2017-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator