Provider Demographics
NPI:1972358778
Name:MARCOLINI, ALYSSA RENEE
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:RENEE
Last Name:MARCOLINI
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 1:33 GREENVALE LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1614
Mailing Address - Country:US
Mailing Address - Phone:516-497-5157
Mailing Address - Fax:
Practice Address - Street 1:33 GREENVALE LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1614
Practice Address - Country:US
Practice Address - Phone:516-497-5157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist