Alice Lavette Tucker

Individual provider Substance Use Disorder Rehabilitation Hospital Unit · NPI 1174410708

Alice Lavette Tucker is a Substance Use Disorder Rehabilitation Hospital Unit in Staten Island, New York. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since: 2025

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Practice location Address checks out

28 Holland Ave
Staten Island, NY 10303-1204
Phone: (917) 288-3321

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Hospital Unit (primary)	Taxonomy 276400000X

Record details

NPI number	1174410708
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	June 18, 2025
Last updated in NPPES	June 18, 2025
Certification date	June 18, 2025