Individual
JUANITA PUNWANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 PRO HEALTH PLZ, LAKE SUCCESS, NY 11042-1111
(516) 608-2820
Mailing address
2 PRO HEALTH PLZ, LAKE SUCCESS, NY 11042-1111
(516) 608-2820
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
202071
NY
Other
Enumeration date
05/23/2006
Last updated
06/03/2013
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