Provider Demographics
NPI:1013781905
Name:ALLONCE, DANANSKI GAMALIEL (DPT)
Entity Type:Individual
Prefix:
First Name:DANANSKI
Middle Name:GAMALIEL
Last Name:ALLONCE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BRISTOL DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-5205
Mailing Address - Country:US
Mailing Address - Phone:845-538-5213
Mailing Address - Fax:
Practice Address - Street 1:8 S MADISON AVE
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-5538
Practice Address - Country:US
Practice Address - Phone:845-538-5213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051342225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist