Provider Demographics
NPI:1881902567
Name:ROSSMAN, ALISSA DANIELLE (MSPT)
Entity type:Individual
Prefix:MRS
First Name:ALISSA
Middle Name:DANIELLE
Last Name:ROSSMAN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 ARBUCKLE AVE
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1304
Mailing Address - Country:US
Mailing Address - Phone:516-792-1179
Mailing Address - Fax:
Practice Address - Street 1:400 ARBUCKLE AVE
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-1304
Practice Address - Country:US
Practice Address - Phone:516-792-1179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027651-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics