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General NPI Number Information
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NPI Number | 1609912583
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Entity Type | Individual
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Provider Name | CELIA PURUGGANAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 73 CEDAR ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1301
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Country | US
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Telephone | 860-224-5267
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT . OF PSYCHIATRY, 127 S. BROADWAY ST. JOSEPH'S MEDICAL CENTER
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City | YONKERS
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State | NY
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Zip | 10701
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 67422
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 206-299
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License Number State | NY
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