Alisha Marie Constantino, M.S. CCC SLP
Individual provider Active NPI Speech-Language Pathologist · E. Setauket, NY
NPI 1790076529 · NPPES record last updated Apr 27, 2011
Key facts
- NPI
- 1790076529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 010270-1 (NY)
- Practice address
- 5 Sawyer Court
E. Setauket, NY 11733 - Phone
- (631) 941-9816
- NPI assigned
- Apr 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010270-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 010270-1 | NY | Yes |
Addresses
Primary practice location
5 Sawyer Court
E. Setauket, NY 11733
Mailing address
5 Sawyer Court
E. Setauket, NY 11733
Phone (631) 941-9816
Other names
- Alisha Marie Foggo
Other providers in E. Setauket, NY
- Sherline Agena
- Edward W Antos Jr.
- Janet Badalamenti
- Theresa Blumenthal
- Diane M Clausen
- Theresa Crafa
- Kristina Demarco
- Mary Ann Fragola
- Alexea M Gaffney-Adams
- Gagandeep Gill
All providers in E. Setauket, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.