Healthcare Provider Details

I. General information

NPI: 1407342637
Provider Name (Legal Business Name): ALLISON D'AMATO CUCITI OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2018
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 STATE ROUTE 488
CLIFTON SPRINGS NY
14432-9308
US

IV. Provider business mailing address

1550 STATE ROUTE 488
CLIFTON SPRINGS NY
14432-9308
US

V. Phone/Fax

Practice location:
  • Phone: 315-548-6631
  • Fax: 315-548-6639
Mailing address:
  • Phone: 315-548-6631
  • Fax: 315-548-6639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number022649
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: