Individual
LINDA PUCKETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 W 29TH ST, SUITE 901, NEW YORK, NY 10001-5203
(917) 439-2480
Mailing address
532 CARLTON AVE # 1, BROOKLYN, NY 11238-3003
(917) 439-2480
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
010115
NY
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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