Organization
CAROL PUCEK, N. P., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL L. PUCEK APRN (NURSE PRACTITIONER)
(845) 227-6884
Entity
Organization
Contact information
Practice address
510 HAIGHT AVE STE 102, POUGHKEEPSIE, NY 12603-2464
(845) 485-3506
(845) 485-8780
Mailing address
4 HEMLOCK HOLLOW RD, HOPEWELL JUNCTION, NY 12533-7402
(845) 227-6884
(845) 227-6884
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
266501
NY
363L00000X
Nurse Practitioner
F400301
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033150
BEACON HEALTH STRATEGIES
NY
01
—
137118N
VALUEOPTIONS
NY
01
—
2053176
CIGNA
NY
01
—
7322339
AETNA
NY
01
—
7795261
AETNA
NY
01
—
911903
MVP
NY
Enumeration date
03/29/2007
Last updated
09/11/2025
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