Individual
PATRICIA PUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
255 LAFAYETTE AVE, SUFFERN, NY 10901-4812
(845) 357-5775
(845) 357-5777
Mailing address
100 ROUTE 59, SUITE 105, SUFFERN, NY 10901-4927
(845) 357-5775
(845) 357-5777
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NO07871700
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
427370
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430043391
RAILROAD MEDICARE
NJ
Enumeration date
06/15/2006
Last updated
04/11/2012
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