Individual
CARLO PUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 BARCLAY LN, SAUGERTIES, NY 12477-5201
(845) 247-3278
Mailing address
129 BARCLAY LN, SAUGERTIES, NY 12477-5201
(845) 247-3278
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
294617
NY
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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