Healthcare Provider Details

I. General information

NPI: 1265001713
Provider Name (Legal Business Name): VERONICA HELENA PUZIO DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2021
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 BROADWAY RM 1304
NEW YORK NY
10006-1999
US

IV. Provider business mailing address

36 CAMPBELL RD
HILLSBOROUGH NJ
08844-4271
US

V. Phone/Fax

Practice location:
  • Phone: 212-600-1996
  • Fax:
Mailing address:
  • Phone: 609-455-8020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number37263
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number063287
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: