Healthcare Provider Details

I. General information

NPI: 1730454034
Provider Name (Legal Business Name): SALMAN PUNEKAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 11/27/2023
Certification Date: 11/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 E 34TH ST
NEW YORK NY
10016-4744
US

IV. Provider business mailing address

14 WALL ST FL 9
NEW YORK NY
10005-2178
US

V. Phone/Fax

Practice location:
  • Phone: 212-731-6228
  • Fax: 212-731-5520
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number293178
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: