Provider Demographics
NPI:1154147296
Name:ESPINOZA, ALANA
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 LAFAYETTE STREET UNIT 459
Mailing Address - Street 2:
Mailing Address - City:VERPLANCK
Mailing Address - State:NY
Mailing Address - Zip Code:10596
Mailing Address - Country:US
Mailing Address - Phone:914-382-6844
Mailing Address - Fax:
Practice Address - Street 1:3535 HILL BLVD STE P
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-1209
Practice Address - Country:US
Practice Address - Phone:914-962-2728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014476-01225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant