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1750136719
ALISA GALLUCCI
STATEN ISLAND, NY
NPI
1750136719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F35363901)
Enumeration Date
2024-04-22
Last Update Date
2024-04-22
Business Address
ALISA GALLUCCI FNP
11 RALPH PL STE 112
STATEN ISLAND, NY 10304-4408
Phone number: 718-954-2202
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Mailing Address
ALISA GALLUCCI FNP
907 CENTER ST
UNION BEACH, NJ 07735-2819
Phone number: 917-783-2090
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