ALICE LAVETTE TUCKER
NPI 1174410708
Rehabilitation, Substance Use Disorder Unit in Staten Island, NY
- Individual
- Female
- Rehabilitation, Substance Use Disorder U...
About ALICE TUCKER
This page provides the complete NPI Profile along with additional information for Alice Tucker, a provider established in Staten Island, New York with a medical specialization in Rehabilitation, Substance Use Disorder Unit. The healthcare provider is registered in the NPI registry with number 1174410708 assigned on June 2025. The practitioner's primary taxonomy code is 276400000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1174410708 Verify this NPI
- Provider Name
- ALICE LAVETTE TUCKER
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 28 HOLLAND AVE STATEN ISLAND, NY 10303
- Location Phone
- (917) 288-3321
- Mailing Address
- 28 HOLLAND AVE STATEN ISLAND, NY 10303
- Mailing Phone
- (917) 288-3321
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-18-2025
- Last Update Date
- 06-18-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation, Substance Use Disorder Unit
- Taxonomy Code
- 276400000X
- Type
- Hospital Units
- Taxonomy Description
- A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174410708, enumerated as an "individual" on June 18, 2025.
The provider is located at 28 HOLLAND AVE STATEN ISLAND, NY 10303 and the phone number is (917) 288-3321.
Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.
