=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417877333
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALLIA MEDICAL SERVICES EAST PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/20/2026
-----------------------------------------------------
Last Update Date | 07/24/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 169 MADISON AVE STE 54733
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10016-5101
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 332-242-2212
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 500 PATERSON PLANK RD # 33178
-----------------------------------------------------
City | UNION CITY
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07087-3416
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 332-242-2212
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF CLINICAL OFFICER
-----------------------------------------------------
Name | DR. LUCAS VOLINI
-----------------------------------------------------
Credential | DMFT, LMFT
-----------------------------------------------------
Telephone | 332-242-2212
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------