Provider Demographics
NPI:1366695785
Name:BARMADA, ALYSON ANGELA (MS, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ALYSON
Middle Name:ANGELA
Last Name:BARMADA
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 LEON DRIVE
Mailing Address - Street 2:
Mailing Address - City:ENDICOTT
Mailing Address - State:NY
Mailing Address - Zip Code:13760-1324
Mailing Address - Country:US
Mailing Address - Phone:607-239-8888
Mailing Address - Fax:
Practice Address - Street 1:632 LEON DR
Practice Address - Street 2:
Practice Address - City:ENDICOTT
Practice Address - State:NY
Practice Address - Zip Code:13760-1324
Practice Address - Country:US
Practice Address - Phone:607-239-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013533-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics