Provider Demographics
NPI:1821340647
Name:LAUCER, HAMIDE (ANP)
Entity Type:Individual
Prefix:
First Name:HAMIDE
Middle Name:
Last Name:LAUCER
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:HAMIDE
Other - Middle Name:
Other - Last Name:SULEYMAN-LAUCER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP-C
Mailing Address - Street 1:54 RAMBLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-8784
Mailing Address - Country:US
Mailing Address - Phone:845-741-5033
Mailing Address - Fax:
Practice Address - Street 1:54 RAMBLEWOOD DR
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-8784
Practice Address - Country:US
Practice Address - Phone:845-741-5033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-03
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY302826-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health