MEDICARE: ALAYNA FULCO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist
2	235Z00000X	Speech-Language Pathologist	029870	NY

General Provider Information

NPI Number	:	1285125427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAYNA FULCO

Provider Business Mailing Address
First Line	:	134 W 26TH ST RM 602
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10001-6803
Country	:	US
Telephone Number	:	212-604-9360
Fax Number	:

Provider Business Practice Location Address
First Line	:	8746 20TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4802
Country	:	US
Telephone Number	:	718-238-7451
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2018
Last Update Date	:	08/19/2020

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Directions to “ ALAYNA FULCO ” Practice Location

Language	Start Address	Practice Location

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