Alyssa D'Alto, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Highland, NY

NPI 1083085237 · NPPES record last updated Dec 21, 2017

Key facts

NPI
1083085237
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
025175 (NY)
Practice address
16 Lockhart Lane
Highland, NY 12528
Phone
(845) 691-1000
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160211000832 NY Practitioner - Qualified Speech Language Pathologist 4082918032 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
025175NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 025175 NY Yes

Addresses

Primary practice location

16 Lockhart Lane
Highland, NY 12528

Mailing address

320 Pancake Hollow Road
Highland, NY 12528
Phone (845) 691-1000

Other names

  • Ms. Alyssa Centonze Former name

Other providers in Highland, NY

All providers in Highland, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.