Provider Demographics
NPI:1881940112
Name:BIANCAMANO, ALLISON (MS, CCC-SLP TSSLD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:BIANCAMANO
Suffix:
Gender:F
Credentials:MS, CCC-SLP TSSLD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:MARRONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP TSSLD
Mailing Address - Street 1:6 GEIGER PL
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-2826
Mailing Address - Country:US
Mailing Address - Phone:631-258-8027
Mailing Address - Fax:
Practice Address - Street 1:6 GEIGER PL
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-2826
Practice Address - Country:US
Practice Address - Phone:631-258-8027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022054-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist