| Doctor Name: | LAURALYN PUCCIO KULPA |
| NPI Number: | 1346510120 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 490909 |
| Business Practice Address: | 19 Wards Ln Menands, NY - 122042172 |
| Business Phone Number: | 5184654561 |
| Business Fax Number: | 5184342840 |
| Mailing Address: | 1517 Van Hoesen Rd, CASTLETON |
| State: | NY |
| Postal Code: | 120339694 |
| Phone Number: | 5187320836 |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2012 |
| NPI Last Update Date: | 01/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 490909 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |