Alice L Tucker
Rehabilitation, Substance Use Disorder Unit in Staten Island, New York
1174410708- Practice location
- 28 Holland Ave, Staten Island, NY 10303-1204
- Phone
- 917-288-3321
- Fax
- —
- Last updated
- June 18, 2025
Alice Lavette Tucker is a Rehabilitation, Substance Use Disorder Unit based in Staten Island, NY. Alice Lavette Tucker practices in Staten Island, NY. The NPI Number for Alice Lavette Tucker is 1174410708. The current practice location address for Alice Lavette Tucker is 28 Holland Ave, Staten Island, NY 10303-1204 and can be reached out via phone at 917-288-3321.
Provider Profile Details
- NPI Number
- 1174410708
- Provider Name
- Alice Lavette Tucker
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 28 Holland Ave, Staten Island, NY 10303-1204
- Phone Number
- 917-288-3321
- Primary Taxonomy
- Rehabilitation, Substance Use Disorder Unit · 276400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 18, 2025
- Last Update Date
- June 18, 2025
- Certification Date
- June 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 28 Holland Ave
Staten Island, NY 10303-1204 - City
- Staten Island
- State
- New York
- Zip
- 10303-1204
- Phone Number
- 917-288-3321
Provider Business Mailing Address Details
- Address
- 28 Holland Ave
Staten Island, NY 10303-1204 - City
- Staten Island
- State
- NY
- Zip
- 10303-1204
- Phone Number
- 917-288-3321
License Information
- Taxonomy
- Rehabilitation, Substance Use Disorder Unit · 276400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Alice L Tucker?
The NPI number of Alice L Tucker is 1174410708. It was assigned on June 18, 2025 and is currently active in the NPPES registry.
What is the specialty of Alice L Tucker?
Alice L Tucker is registered under the primary taxonomy Rehabilitation, Substance Use Disorder Unit (code 276400000X).
Where does Alice L Tucker practice?
The practice location is 28 Holland Ave, Staten Island, NY 10303-1204. The office can be reached at 917-288-3321 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174410708 directly on the NPPES registry website.