Provider Demographics
NPI:1811243629
Name:ALAKA, ALICE U (MS SPECIAL ED)
Entity type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:U
Last Name:ALAKA
Suffix:
Gender:F
Credentials:MS SPECIAL ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10302-2038
Mailing Address - Country:US
Mailing Address - Phone:718-701-1654
Mailing Address - Fax:718-559-4776
Practice Address - Street 1:400 LAKE AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10303-2629
Practice Address - Country:US
Practice Address - Phone:718-720-2245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency