LAURA ANN PUCCIO


Address: 104 W 29th St, 3rd Floor, New York, NY 10001-5310
Phone: 2126161800

LAURA ANN PUCCIO (NPI# 1770841538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770841538
Entity Type Individual
Full Name LAURA ANN PUCCIO
Practice Address 104 W 29th St
3rd Floor
New York
NY 10001-5310
Mailing Address 166 W Walnut St
Long Beach
NY 11561-3316
Practice Telephone 2126161800
Mailing Telephone 9179743000
Mailing Fax Number 2128981143
Enumeration Date 2012-04-30
Last Update Date 2012-04-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
NY Behavioral Health & Social Service Providers

Office Location

Street Address 104 W 29TH ST
3RD FLOOR
City NEW YORK
State NY
Zip Code 10001-5310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730516980 Christina Liotto Registered Nurse 104 W 29th St, New York, NY 10001-5310 2013-10-02
1780936948 Jewish Home Lifecare Community Services Home Health 104 W 29th St, 8th Floor, New York, NY 10001-5310 2012-10-11

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

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1265920748 Jaely J Ricciardi Psychologist 155 Henry St Apt 404, New York, NY 10002-6417 2018-04-30
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Competitor

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City NEW YORK
Zip Code 10001

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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