Provider Demographics
NPI:1720605736
Name:DCUNHA, ALINSON
Entity Type:Individual
Prefix:
First Name:ALINSON
Middle Name:
Last Name:DCUNHA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 ZABRISKIE ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-4343
Mailing Address - Country:US
Mailing Address - Phone:347-285-7884
Mailing Address - Fax:
Practice Address - Street 1:17561 HILLSIDE AVE STE 400
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-5769
Practice Address - Country:US
Practice Address - Phone:718-291-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044464225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist