Provider Demographics
NPI:1053769976
Name:QUATTROCCHI, ALAYNA MARIE (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ALAYNA
Middle Name:MARIE
Last Name:QUATTROCCHI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 ROGERS PL
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-4120
Mailing Address - Country:US
Mailing Address - Phone:917-635-3126
Mailing Address - Fax:
Practice Address - Street 1:22 ROGERS PL
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-4120
Practice Address - Country:US
Practice Address - Phone:917-635-3126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-01
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025729-1235Z00000X
NJ41YS00830500235Z00000X
NJ947199235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist