Provider Demographics
NPI:1891586913
Name:JURANE, ALYSSA MARIEL (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MS
First Name:ALYSSA MARIEL
Middle Name:
Last Name:JURANE
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-1602
Mailing Address - Country:US
Mailing Address - Phone:718-455-3400
Mailing Address - Fax:
Practice Address - Street 1:6024 68TH AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-4544
Practice Address - Country:US
Practice Address - Phone:929-204-5612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054161225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist