Individual
ALYSSA LYNN MULLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
228 ALBOURNE AVE, STATEN ISLAND, NY 10309-3033
(917) 557-1364
Mailing address
228 ALBOURNE AVE, STATEN ISLAND, NY 10309-3033
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F358113-01
NY
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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