Victoria Puig, ED.D

Primary specialty

SpecialistTaxonomy code 174400000X

License

817051981 Issued in NY

Practice address

333 N Shore Dr
Wurtsboro, NY 12790-4928

Phone

(347) 564-7381

NPI assigned

Apr 30, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493510400000",
    "number": "1184159998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SHORE DR",
            "city": "WURTSBORO",
            "state": "NY",
            "postal_code": "127904928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SHORE DR",
            "city": "WURTSBORO",
            "state": "NY",
            "postal_code": "127904928",
            "telephone_number": "347-564-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUIG",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-30",
        "last_updated": "2017-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "817051981",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "844614981",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Messineo, LPN
• Christine Marie Minton, RN
• P & S Pharmacy LLC (Wurtsboro Pharmacy)
• Rahulkumar M Patel, R.PH.
• Kailyn Yvonne Powell, LPN
• Michael Regan, LCSW
• Tara Schoonmaker
• Dhirajlal M Shah, MD
• Chyrise Taylor, DNP-FNP
• Tineo Psychological Services PLLC

• Specialist in Wurtsboro, NY
• Providers in Wurtsboro, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.