Provider Demographics
NPI:1932620010
Name:OCASIO, ALYSON (ATC)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:
Last Name:OCASIO
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 VICTORY BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-6600
Mailing Address - Country:US
Mailing Address - Phone:718-982-3135
Mailing Address - Fax:718-982-3138
Practice Address - Street 1:2800 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314
Practice Address - Country:US
Practice Address - Phone:718-982-3135
Practice Address - Fax:718-982-3138
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer