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Individual

NGODUP PHUNTSOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
6120 WOODSIDE AVE APT 1U, WOODSIDE, NY 11377-3500
(347) 515-1687
Mailing address
6120 WOODSIDE AVE APT 1U, WOODSIDE, NY 11377-3500

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
312564
NY

Other

Enumeration date
04/22/2026
Last updated
04/22/2026
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