Healthcare Provider Details

I. General information

NPI: 1003846643
Provider Name (Legal Business Name): MICHELE ALIANI PT,ATC, CSCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 09/06/2023
Certification Date: 09/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 FURMAN PL
EAST NORWICH NY
11732-1313
US

IV. Provider business mailing address

5 FURMAN PL
EAST NORWICH NY
11732-1313
US

V. Phone/Fax

Practice location:
  • Phone: 516-972-8897
  • Fax:
Mailing address:
  • Phone: 516-922-0526
  • Fax: 516-922-0526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number013435-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: