Individual provider · NPI-1

Poonam Advani, MD

Internal Medicine · Jamaica, NY

NPI number1790171932
StatusActive
Last updated in NPPESApr 14, 2015

Details

NPI
1790171932
Entity type
Individual (NPI-1)
Name
Poonam Advani
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 14, 2015
Last updated
Apr 14, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine56705-SZZYes

Practice location

8268 164th St
Jamaica, NY 11432-1121

Phone 718-883-3591

Mailing address

8268 164th St
Jamaica, NY 11432-1121

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