Healthcare Provider Details

I. General information

NPI: 1114835659
Provider Name (Legal Business Name): ALESSONDRA TUFANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129A HILLSIDE AVE
WILLISTON PARK NY
11596-2305
US

IV. Provider business mailing address

707 CORNELL RD
FRANKLIN SQUARE NY
11010-3417
US

V. Phone/Fax

Practice location:
  • Phone: 516-742-5243
  • Fax:
Mailing address:
  • Phone: 516-974-8292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: