Provider Demographics
NPI:1760415301
Name:ALLOCCA, ERICA LYNNE (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:LYNNE
Last Name:ALLOCCA
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2339 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-2038
Mailing Address - Country:US
Mailing Address - Phone:516-520-3053
Mailing Address - Fax:516-520-5715
Practice Address - Street 1:2339 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-2027
Practice Address - Country:US
Practice Address - Phone:516-520-3053
Practice Address - Fax:516-520-5715
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027124225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ25K8Q6VX1Medicare PIN