National Provider Identifier

Kayleigh Gromilovitz Pung, D.O.

Kayleigh Gromilovitz Pung, D.O. is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Buffalo, NY and a listed phone number of (716) 828-2666.

NPI 1538541867Buffalo, NYEmergency Medicine Physician

Profile Overview

NPI
1538541867
Provider Type
Individual
Primary Specialty
Emergency Medicine Physician
Enumeration Date
June 23, 2015
Last Updated
October 27, 2022

Practice Location

  • 565 Abbott RD
  • Buffalo, NY 14220

Phone: (716) 828-2666

Mailing Address

  • 307 S Evergreen Ave
  • Woodbury, NJ 08096-2739

Specialties

  • Emergency Medicine Physician (207P00000X)
  • Emergency Medicine Physician (207P00000X)
Full Record
NPI
1538541867
Entity Type
Individual
Last Name
Pung
First Name
Kayleigh
Middle Name
Gromilovitz
Credential
D.O.
Mailing Street Address
307 S Evergreen Ave
Mailing City
Woodbury
Mailing State
NJ
Mailing ZIP Code
08096-2739
Mailing Country
US
Mailing Phone
(600) 936-4677
Mailing Fax
(865) 692-5900
Practice Street Address
565 Abbott RD
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14220
Practice Country
US
Practice Phone
(716) 828-2666
Enumeration Date
June 23, 2015
Last Updated
October 27, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
October 27, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Emergency Medicine Physician (207P00000X), Emergency Medicine Physician (207P00000X)