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Individual

PAULA PONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5413 SPRINGVIEW DRIVE, FAYETTEVILLE, NY 13066
(315) 637-2003
(315) 329-7772
Mailing address
5413 SPRINGVIEW DRIVE, FAYETTEVILLE, NY 13066
(315) 637-2003
(315) 329-7772

Taxonomy

Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
227287
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02364547
NY
Enumeration date
03/24/2006
Last updated
12/06/2010
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