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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALICE LAVETTE TUCKER

Active Sole Proprietor

Substance Use Disorder Unit · STATEN ISLAND, NY

Registration Details

NPI Number
1174410708
Provider Type
Individual
Gender
Female
NPI Issued
Jun 18, 2025 (0.84280681412693 yrs)
Last Updated
Jun 18, 2025
Sole Proprietor
Yes

Practice Information

Address
28 HOLLAND AVE
STATEN ISLAND, NY, 103031204
Browse NY providers · Browse ZIP 10303
Phone
9172883321
Primary Specialty
Substance Use Disorder Unit
276400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.