Individual
LAURA ANN PUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 W 29TH ST, 3RD FLOOR, NEW YORK, NY 10001-5310
(212) 616-1800
Mailing address
166 W WALNUT ST, LONG BEACH, NY 11561-3316
(917) 974-3000
(212) 898-1143
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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