Provider Demographics
NPI:1083443055
Name:PUZANTYAN, CIGDEM L
Entity type:Individual
Prefix:
First Name:CIGDEM
Middle Name:L
Last Name:PUZANTYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CIGDEM
Other - Middle Name:L
Other - Last Name:MUSLU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23 HASTINGS RD
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-1759
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23 HASTINGS RD
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-1759
Practice Address - Country:US
Practice Address - Phone:917-693-6229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist