Most Relevant Information
Provider Data
| NPI Number: | 1003338690 |
| Provider Name: | PUNAM SHERPA PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 021024 |
Most Important Dates
| Enumeration Date: | 07/14/2017 |
| Last Updated: | 07/14/2017 |
Provider Practice Location
100 E 77TH ST
NEW YORK
NY
100751850
Practice Location Phone/Fax
| Phone: | 6467521480 |
| Fax: |
Provider Mailing Location
3767 63RD ST APT 3D
WOODSIDE
NY
113772630
Provider Mailing Phone/Fax
| Phone: | 6467521480 |
| Fax: |