Individual
MRS. ANNALISA MACALUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20568 BRIAN CRESCENT, BAYSIDE, NY 11360
(347) 409-5915
Mailing address
20568 BRIAN CRES, BAYSIDE, NY 11360-1142
(347) 409-5915
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382601
NY
Other
Enumeration date
07/17/2015
Last updated
01/26/2016
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