Healthcare Provider Details

I. General information

NPI: 1811145139
Provider Name (Legal Business Name): ARUNA PULIJAAL, PHYSICIAN, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2008
Last Update Date: 11/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 RALPH PL 201
STATEN ISLAND NY
10304-4419
US

IV. Provider business mailing address

11 RALPH PL 201
STATEN ISLAND NY
10304-4419
US

V. Phone/Fax

Practice location:
  • Phone: 718-556-6565
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number StateNY

VIII. Authorized Official

Name: ARUNA PULIJAAL
Title or Position: OWNER
Credential:
Phone: 718-556-6565