Provider Demographics
NPI:1356867857
Name:ALOISIO, RACHEL ANN (SLP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:ALOISIO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MRS
Other - First Name:RACHEL
Other - Middle Name:ANN
Other - Last Name:YAMOND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:93 HEMPSTEAD AVE APT 205
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-1666
Mailing Address - Country:US
Mailing Address - Phone:516-680-0317
Mailing Address - Fax:
Practice Address - Street 1:125 E BETHPAGE RD
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-4228
Practice Address - Country:US
Practice Address - Phone:516-731-5588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY028052235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03858055Medicaid