Individual
ALYSSA M POLICASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
181 N. BELLE MEAD ROAD, EAST SETAUKET, NY 11733
(631) 444-2599
Mailing address
15 CALICO TREE RD, HAUPPAUGE, NY 11788-2623
(631) 664-3110
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383285-01
NY
Other
Enumeration date
04/15/2022
Last updated
05/25/2022
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