Individual
MIRIAM PUDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
160 E 32ND ST, NEW YORK, NY 10016-6004
(212) 263-9907
(212) 263-8410
Mailing address
2601 AVENUE S, BROOKLYN, NY 11229-2538
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382161
NY
Other
Enumeration date
07/24/2012
Last updated
01/05/2015
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