Individual
PUNAM KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(516) 728-4722
Mailing address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
174400000X
NY
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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