Healthcare Provider Details
I. General information
NPI: 1356867857
Provider Name (Legal Business Name): RACHEL ANN ALOISIO SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/16/2017
Last Update Date: 09/16/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
125 E BETHPAGE RD
PLAINVIEW NY
11803-4228
US
IV. Provider business mailing address
93 HEMPSTEAD AVE APT 205
LYNBROOK NY
11563-1666
US
V. Phone/Fax
- Phone: 516-731-5588
- Fax:
- Phone: 516-680-0317
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 028052 |
| License Number State | NY |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 03858055 |
| Identifier Type | MEDICAID |
| Identifier State | NY |
| Identifier Issuer | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: