Individual
ALISA GALLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11 RALPH PL STE 112, STATEN ISLAND, NY 10304-4408
(718) 954-2202
(718) 351-6848
Mailing address
907 CENTER ST, UNION BEACH, NJ 07735-2819
(917) 783-2090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F35363901
NY
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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