Provider Demographics
NPI:1710258090
Name:CAMINITI, ALLYSON HELENE (P T)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:HELENE
Last Name:CAMINITI
Suffix:
Gender:F
Credentials:P T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 CROCUS LN
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-3629
Mailing Address - Country:US
Mailing Address - Phone:631-864-1687
Mailing Address - Fax:
Practice Address - Street 1:50 CROCUS LN
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-3629
Practice Address - Country:US
Practice Address - Phone:631-864-1687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016948-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist