Provider Demographics
NPI:1306228051
Name:PUNIM, AARON MICHAEL (OD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:MICHAEL
Last Name:PUNIM
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:91 LAKES RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-2613
Mailing Address - Country:US
Mailing Address - Phone:845-783-1223
Mailing Address - Fax:845-783-3905
Practice Address - Street 1:91 LAKES RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950
Practice Address - Country:US
Practice Address - Phone:845-783-1224
Practice Address - Fax:845-783-3905
Is Sole Proprietor?:No
Enumeration Date:2015-06-18
Last Update Date:2019-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV008263152W00000X, 152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152W00000XEye and Vision Services ProvidersOptometrist