Provider Demographics
NPI:1821309899
Name:RASCONA, ALLISON M (MS CCC-SLP/TSSLD)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:M
Last Name:RASCONA
Suffix:
Gender:F
Credentials:MS CCC-SLP/TSSLD
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:M,
Other - Last Name:DEMARCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:215 WESKORA RD
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-2125
Mailing Address - Country:US
Mailing Address - Phone:516-695-1230
Mailing Address - Fax:
Practice Address - Street 1:5 BRADHURST AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2135
Practice Address - Country:US
Practice Address - Phone:914-592-8526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020898-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist