Individual provider · Type 1 NPI

Alyse Catherine McCullough

Licensed Practical Nurse · Deer Park, NY

NPI number 1174221345 Active

Practice location

206 W 22nd St
Deer Park, NY 11729-4812

Call (347) 603-4099 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X336923 (NY)

Licensed Practical Nurse: An individual 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.

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About NPI 1174221345

Alyse Catherine McCullough's National Provider Identifier is 1174221345, issued on Feb 17, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Deer Park, NY. The record was last updated on Feb 17, 2023.