Individual
MRS. GRACE JENNIFER PUNLA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, ANP
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
(212) 951-3481
Mailing address
220 RIDGEFIELD AVE, BOGOTA, NJ 07603-1429
(201) 906-6294
(212) 951-3481
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303798
NY
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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