Provider Demographics
NPI:1245729383
Name:ALON, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:ALON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:DANIEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:585 ALBRO LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-2802
Mailing Address - Country:US
Mailing Address - Phone:516-316-6541
Mailing Address - Fax:
Practice Address - Street 1:585 ALBRO LN
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-2802
Practice Address - Country:US
Practice Address - Phone:516-316-6541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-03
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency