Individual
MARYELLEN CARLUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 INSTITUTE ST, JAMESTOWN, NY 14701-6628
(716) 294-3995
(833) 974-2031
Mailing address
6386 TRANSIT RD APT 348, DEPEW, NY 14043-1125
(716) 294-3995
(833) 974-2031
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405890-01
NY
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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