Provider Demographics
NPI:1083866289
Name:MACALUSO, NORMA (MS OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:
Last Name:MACALUSO
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 SECOND STREET
Mailing Address - Street 2:
Mailing Address - City:BUCHANAN
Mailing Address - State:NY
Mailing Address - Zip Code:10511
Mailing Address - Country:US
Mailing Address - Phone:914-552-4494
Mailing Address - Fax:914-737-0827
Practice Address - Street 1:171 2ND ST
Practice Address - Street 2:
Practice Address - City:BUCHANAN
Practice Address - State:NY
Practice Address - Zip Code:10511-1411
Practice Address - Country:US
Practice Address - Phone:914-552-4494
Practice Address - Fax:914-737-0827
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0118170172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker