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NPI Code Detail

MEDICARE: DIANA PUNKO MD, MS

MEDICARE: DIANA PUNKO MD, MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician292686NY
22084P0015XPsychosomatic Medicine Physician292686NY

General Provider Information

NPI Number : 1144674920
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA PUNKO MD, MS
Provider Business Mailing Address
First Line : 525 E 68TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4870
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 525 E 68TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4870
Country : US
Telephone Number : 212-746-6056
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2016
Last Update Date : 07/31/2024

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