Provider Demographics
NPI:1043911480
Name:D'ALESSIO, TRINITY ANNE (RN, IBCLC, LMT)
Entity type:Individual
Prefix:
First Name:TRINITY
Middle Name:ANNE
Last Name:D'ALESSIO
Suffix:
Gender:F
Credentials:RN, IBCLC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 TWIN LN N
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-1944
Mailing Address - Country:US
Mailing Address - Phone:917-561-8830
Mailing Address - Fax:
Practice Address - Street 1:190 TWIN LN N
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-1944
Practice Address - Country:US
Practice Address - Phone:917-561-8830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033688225700000X
NYL-308241163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant