Individual
DR. TARAH LEIGH PUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11205 QUEENS BLVD, FOREST HILLS, NY 11375-8311
(187) 303-3725
(718) 886-4251
Mailing address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-3410
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
245954
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03099772
—
NY
Enumeration date
06/13/2007
Last updated
01/26/2023
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