Fnu Poonam, MD
Internal Medicine in Glen Cove, NY. Individual provider (NPI-1).
NPI number1750985404
StatusActive
Last updated in NPPESJun 25, 2026
Details
- NPI
- 1750985404
- Entity type
- Individual (NPI-1)
- Name
- Fnu Poonam
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 24, 2020
- Certification date
- Jun 25, 2026
- Last updated
- Jun 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 327158 | NY | Yes |
| 207R00000X | Internal Medicine | A208249 | CA |
Other names
- Fnu Poonam (Professional Name)
Practice location
101 Saint Andrews LnGlen Cove, NY 11542-2254
Phone 516-674-7300
Mailing address
1100 Avalon Sq Apt 1305Glen Cove, NY 11542-2877
Phone 718-629-7458
Other practice locations
1100 Avalon Sq Apt 1305
Glen Cove, NY 11542-2877
Glen Cove, NY 11542-2877
Phone 718-629-7458
3132 W March Ln Ste 5
Stockton, CA 95219-2354
Stockton, CA 95219-2354
Phone 209-475-5500 · Fax 209-475-5535
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