Doctor Name: | MS. CARYLEN DENISE HULCOOP |
NPI Number: | 1013382803 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N., |
License Number: | 671627-1 |
Business Practice Address: | 1680 Walden Ave Cheektowaga, NY - 142254914 |
Business Phone Number: | 7168947777 |
Business Fax Number: | |
Mailing Address: | 1680 Walden Ave, CHEEKTOWAGA |
State: | NY |
Postal Code: | 142254914 |
Phone Number: | 7168947777 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2015 |
NPI Last Update Date: | 12/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 671627-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |