NPI 1265044036

Joel Gunderson

Practitioner Prosthetist New York, NY

Practice location

Address: 411 W 52nd St APT 2a, New York, NY 10019-5637
Phone: (917) 456-4704

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 3243538953 (NY)

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Registry record

NPI: 1265044036
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2020
Record last updated: 21 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.