Individual provider · Type 1 NPI

Puja Kakar Godhwani, AGNP

Adult Health Nurse Practitioner · Wading River, NY

NPI number 1265906085 Active

Practice location

6144 NY-25A, Building C Suite 13
Wading River, NY 11792

Call (631) 886-2844 Map

Mailing address

10 Foxrun Ct
Port Jeff Sta, NY 11776-1386

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF308923-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1265906085

Puja Kakar Godhwani, AGNP's National Provider Identifier is 1265906085, issued on Jan 15, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Wading River, NY. The record was last updated on Jan 15, 2019.