Provider Demographics
NPI:1730062365
Name:ALI-MARCANO, SHERENE AYESHA (COTA)
Entity type:Individual
Prefix:
First Name:SHERENE
Middle Name:AYESHA
Last Name:ALI-MARCANO
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PARMA DR
Mailing Address - Street 2:
Mailing Address - City:VALLEY COTTAGE
Mailing Address - State:NY
Mailing Address - Zip Code:10989-1800
Mailing Address - Country:US
Mailing Address - Phone:845-608-2840
Mailing Address - Fax:845-608-2840
Practice Address - Street 1:5 PARMA DR
Practice Address - Street 2:
Practice Address - City:VALLEY COTTAGE
Practice Address - State:NY
Practice Address - Zip Code:10989-1800
Practice Address - Country:US
Practice Address - Phone:845-608-2840
Practice Address - Fax:845-608-2840
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003290-01224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant