Individual
KHUSBU PUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5616 6TH AVE, BROOKLYN, NY 11220-3419
(718) 439-5440
(718) 567-9772
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
316165
NY
Other
Enumeration date
03/12/2019
Last updated
12/18/2023
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