Provider Demographics
NPI:1134545528
Name:CARDUCCI, ALYSSA CATHERINE (DPT)
Entity type:Individual
Prefix:MISS
First Name:ALYSSA
Middle Name:CATHERINE
Last Name:CARDUCCI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 CENTER RD
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-2157
Mailing Address - Country:US
Mailing Address - Phone:716-674-1509
Mailing Address - Fax:
Practice Address - Street 1:560 CENTER RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-2157
Practice Address - Country:US
Practice Address - Phone:716-674-1509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-11
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037237-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist