Provider Demographics
NPI:1760182802
Name:CLEARY, ALISON (APN)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:CLEARY
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:PROSKURNIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24 ANN ST
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-1944
Mailing Address - Country:US
Mailing Address - Phone:908-902-0519
Mailing Address - Fax:
Practice Address - Street 1:901 W MAIN ST STE 305
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2537
Practice Address - Country:US
Practice Address - Phone:732-780-0002
Practice Address - Fax:732-431-3795
Is Sole Proprietor?:No
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO12327900163W00000X
NJ26NJ01452900363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse