Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyse Catherine McCullough

Individual provider Licensed Practical Nurse · NPI 1174221345

Alyse Catherine McCullough is a Licensed Practical Nurse in Deer Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

206 W 22nd St
Deer Park, NY 11729-4812
Phone: (347) 603-4099
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 336923 (NY)

Record details

NPI number1174221345
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 17, 2023
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023

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