MEDICARE: JUSTINE MCALEESE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	F310375-01	NY

General Provider Information

NPI Number	:	1265189435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTINE MCALEESE

Provider Business Mailing Address
First Line	:	410 LAKEVILLE RD STE 212
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1122
Country	:	US
Telephone Number	:	718-470-4198
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 LAKEVILLE RD
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1118
Country	:	US
Telephone Number	:	516-734-8866
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2022
Last Update Date	:	06/26/2026

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Directions to “ JUSTINE MCALEESE ” Practice Location

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