Provider Demographics
NPI:1285827865
Name:PUNZONE, LAURA ELIZABETH (PT, DPT)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ELIZABETH
Last Name:PUNZONE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 E 57TH ST STE 1420
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2108
Mailing Address - Country:US
Mailing Address - Phone:212-838-8023
Mailing Address - Fax:212-838-8027
Practice Address - Street 1:115 E 57TH ST STE 1420
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2108
Practice Address - Country:US
Practice Address - Phone:212-838-8023
Practice Address - Fax:212-838-8027
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029591225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist