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ALISA GALLUCCI FNP
NPI 1750136719
Nurse Practitioner - Family in Staten Island, NY

Active since April 22, 2024
11 RALPH PL STE 112, STATEN ISLAND, NY 10304(718) 954-2202(718) 351-6848 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alisa Gallucci Fnp NPPES

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

ALISA GALLUCCI FNP (NPI 1750136719) is an individual family provider in Staten Island, New York, licensed in New York (F35363901) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1750136719
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALISA GALLUCCICredential: FNP
Location Address11 RALPH PL STE 112Staten Island, NY 10304-4408
Mailing Address907 Center StUnion Beach, NJ 07735-2819 · (917) 783-2090
Phone(718) 954-2202
Fax(718) 351-6848
Sole ProprietorNo
Enumeration DateApril 22, 2024
NPPES CertifiedApril 22, 2024
✔ NPI 1750136719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F35363901
11 RALPH PL STE 112, Staten Island, NY 10304
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZOYA KOROLEVA
Family Medicine
11 RALPH PL STE 112
STATEN ISLAND, NY 10304
Richmond County (718) 954-2202
YANA MAZURENKO FNP
Nurse Practitioner (Family)
11 RALPH PL STE 112
STATEN ISLAND, NY 10304
Richmond County (718) 954-2202
LINDENWOOD MEDICAL PC
Family Medicine (Adult Medicine)
11 RALPH PL STE 112
STATEN ISLAND, NY 10304
Richmond County (718) 954-2202
IOSIF KAYDANOV FNP
Nurse Practitioner (Family)
11 RALPH PL STE 112
STATEN ISLAND, NY 10304
Richmond County (718) 954-2202
ADULT GERIATRIC HEALTH NP PC
Nurse Practitioner (Adult Health)
11 RALPH PL STE 112
STATEN ISLAND, NY 10304
Richmond County (347) 377-1979

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 Alisa Gallucci's NPI number?

The NPI number for Alisa Gallucci is 1750136719. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Alisa Gallucci located?

Alisa Gallucci practices at 11 Ralph Pl Ste 112, Staten Island, NY 10304. The listed phone number is (718) 954-2202.

What is Alisa Gallucci's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Alisa Gallucci was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.