| Doctor Name: | LOUISE FUCALORO |
| NPI Number: | 1023319100 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 22607948 |
| Business Practice Address: | 12 Sequoia Way Holbrook, NY - 117415607 |
| Business Phone Number: | 6314729622 |
| Business Fax Number: | |
| Mailing Address: | 12 Sequoia Way, HOLBROOK |
| State: | NY |
| Postal Code: | 117415607 |
| Phone Number: | 6314729622 |
| Fax Number: | |
| NPI Enumeration Date: | 11/05/2010 |
| NPI Last Update Date: | 11/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 22607948 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |