Individual
ELIZABETH GUNCKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
505 E 70TH ST FL 3, NEW YORK, NY 10021-4872
(646) 962-3442
Mailing address
505 E 70TH ST FL 3, NEW YORK, NY 10021-4872
(466) 962-3442
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382811
NY
Other
Enumeration date
01/09/2018
Last updated
10/21/2022
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