Alyse Catherine Mccullough

NPI #1174221345 in Deer Park, New York

Provider Information

NPI Number
1174221345
Entity Type
Individual
Name
Alyse Catherine Mccullough
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Feb 17, 2023
Last Updated
Feb 17, 2023

Practice Location

Address
206 W 22ND ST
ZIP Code
11729-4812
Phone
(347) 603-4099

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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