Provider Demographics
NPI:1255342291
Name:TRIUNFANTE, ALAINE MAR (PT)
Entity type:Individual
Prefix:MR
First Name:ALAINE MAR
Middle Name:
Last Name:TRIUNFANTE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 CHANDLER LN
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:NY
Mailing Address - Zip Code:12549-1729
Mailing Address - Country:US
Mailing Address - Phone:845-457-9031
Mailing Address - Fax:845-743-7439
Practice Address - Street 1:10 PRINCE ST
Practice Address - Street 2:SUITE 5
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-1930
Practice Address - Country:US
Practice Address - Phone:845-791-2737
Practice Address - Fax:845-794-7943
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015860-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY25062OtherHUDSON HEALTH PLAN PROV.
NY795875OtherMVP PROV. NO.
NYQQ7121Medicare ID - Type Unspecified