Maryellen Carlucci
Maryellen Carlucci is a Psychiatric/Mental Health Nurse Practitioner in Jamestown, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2026
Practice location Address checks out
107 Institute StJamestown, NY 14701-6628
Phone: (716) 294-3995
Fax: (833) 974-2031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence F405890-01 (NY) |
|---|
Record details
| NPI number | 1528915907 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 13, 2026 |
| Last updated in NPPES | March 13, 2026 |
| Certification date | March 13, 2026 |
| Mailing address | 6386 Transit Rd Apt 348, Depew, NY 14043-1125 |
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Disa Xayavongsone, NP
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