Paula Pons Physician LLC
NPI #1033154364 in Fayetteville, New York
Provider Information
- NPI Number
- 1033154364
- Entity Type
- Organization
- Organization Name
- Paula Pons Physician LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 19, 2006
- Last Updated
- Oct 23, 2007
Practice Location
- Address
- 4206 MEDICAL CENTER DR STE 203
- City
- Fayetteville
- State
- New York
- ZIP Code
- 13066
- Phone
- (315) 329-7770
Authorized Official
- Name
- PAULA PONS, M.D.
- Title
- PRESIDENT
- Phone
- (315) 329-7003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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