Individual
AGNIESZKA PUCKPIBUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7355 260TH ST FL 1, GLEN OAKS, NY 11004-1121
(347) 679-9329
Mailing address
7355 260TH ST FL 1, GLEN OAKS, NY 11004-1121
(347) 679-9329
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
023120-1
NY
Other
Enumeration date
10/08/2012
Last updated
05/21/2025
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