Individual
PINKY PUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
171 ORANGE RD FL 3, MONTCLAIR, NJ 07042-2605
(862) 754-0971
Mailing address
171 ORANGE RD FL 3, MONTCLAIR, NJ 07042-2605
(862) 754-0971
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311358-01
NY
Other
Enumeration date
07/20/2023
Last updated
07/26/2023
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