Provider Demographics
NPI:1184023855
Name:KUCZMANSKI, LAURA E (MS, FNP)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:E
Last Name:KUCZMANSKI
Suffix:
Gender:F
Credentials:MS, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HIGH ST
Mailing Address - Street 2:HEART AND LUNG CENTER, B-8
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1126
Mailing Address - Country:US
Mailing Address - Phone:716-859-7280
Mailing Address - Fax:716-859-3915
Practice Address - Street 1:100 HIGH ST
Practice Address - Street 2:HEART AND LUNG CENTER, B-8
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1126
Practice Address - Country:US
Practice Address - Phone:716-859-7280
Practice Address - Fax:716-859-3915
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF338603363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily