Individual
MS. DEANNA M KULACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN-BC, AGNP-C
Contact information
Practice address
61 GRASSLANDS RD, VALHALLA, NY 10595-1543
(917) 499-3099
Mailing address
21 STONEWALL CIR, WEST HARRISON, NY 10604-1144
(917) 499-3099
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308365
NY
Other
Enumeration date
09/12/2017
Last updated
01/08/2022
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