Individual
ALICE LAVETTE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 HOLLAND AVE, STATEN ISLAND, NY 10303-1204
(917) 288-3321
Mailing address
28 HOLLAND AVE, STATEN ISLAND, NY 10303-1204
(917) 288-3321
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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