Provider Demographics
NPI:1255798104
Name:FIGUEROA, PUNSON (LAC)
Entity type:Individual
Prefix:
First Name:PUNSON
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 PARSONS BLVD
Mailing Address - Street 2:1H
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-3058
Mailing Address - Country:US
Mailing Address - Phone:718-309-1947
Mailing Address - Fax:
Practice Address - Street 1:1910 PARSONS BLVD
Practice Address - Street 2:1H
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-3058
Practice Address - Country:US
Practice Address - Phone:718-309-1947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-23
Last Update Date:2016-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004965171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist