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ALYSE CATHERINE MCCULLOUGH
NPI 1174221345
Licensed Practical Nurse in Deer Park, NY

Active since February 17, 2023
206 W 22ND ST, DEER PARK, NY 11729(347) 603-4099 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alyse Catherine Mccullough NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSE CATHERINE MCCULLOUGH (NPI 1174221345) is an individual licensed practical nurse in Deer Park, New York, licensed in New York (336923) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1174221345
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameALYSE CATHERINE MCCULLOUGH
Location Address206 W 22ND STDeer Park, NY 11729-4812
Mailing Address206 W 22nd StDeer Park, NY 11729-4812
Phone(347) 603-4099
Sole ProprietorYes
Enumeration DateFebruary 17, 2023
NPPES CertifiedFebruary 17, 2023
✔ NPI 1174221345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 336923
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
206 W 22ND ST, Deer Park, NY 11729
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyse Mccullough's NPI number?

The NPI number for Alyse Mccullough is 1174221345. It was assigned to this individual provider in the NPPES registry on February 17, 2023.

Where is Alyse Mccullough located?

Alyse Mccullough practices at 206 W 22nd St, Deer Park, NY 11729. The listed phone number is (347) 603-4099.

What is Alyse Mccullough's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Alyse Mccullough was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.