Active NPIIndividual provider

Alisa Gallucci, FNP

Nurse Practitioner, Family in Staten Island, New York

NPI Number1750136719
Practice location
11 Ralph Pl Ste 112, Staten Island, NY 10304-4408
Fax
718-351-6848
Last updated
April 22, 2024

Alisa Gallucci is a Nurse Practitioner, Family based in Staten Island, NY. Alisa Gallucci practices in Staten Island, NY and has the professional credentials of FNP. The NPI Number for Alisa Gallucci is 1750136719 and holds a License No. F35363901 (NY). The current practice location address for Alisa Gallucci is 11 Ralph Pl Ste 112, Staten Island, NY 10304-4408 and can be reached out via phone at 718-954-2202 and via fax at 718-351-6848.

Provider Profile Details

NPI Number
1750136719
Provider Name
Alisa Gallucci
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
11 Ralph Pl Ste 112, Staten Island, NY 10304-4408
Phone Number
718-954-2202
Fax Number
718-351-6848
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
April 22, 2024
Last Update Date
April 22, 2024
Certification Date
April 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Ralph Pl Ste 112
Staten Island, NY 10304-4408
Zip
10304-4408
Phone Number
718-954-2202
Fax Number
718-351-6848
Staten Island, NY 10304Get directions →

Provider Business Mailing Address Details

Address
907 Center St
Union Beach, NJ 07735-2819
City
Union Beach
State
NJ
Zip
07735-2819
Phone Number
917-783-2090

License Information

License Number
F35363901
License State
NY
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Alisa Gallucci, FNP?

The NPI number of Alisa Gallucci, FNP is 1750136719. It was assigned on April 22, 2024 and is currently active in the NPPES registry.

What is the specialty of Alisa Gallucci, FNP?

Alisa Gallucci, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number F35363901.

Where does Alisa Gallucci, FNP practice?

The practice location is 11 Ralph Pl Ste 112, Staten Island, NY 10304-4408. The office can be reached at 718-954-2202 (phone) or 718-351-6848 (fax).

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 1750136719 directly on the NPPES registry website.

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