1902156318 NPI number — CHERYL L KUNIS MD NEPHROLOGY PLLC

Table of content: DR. STEVEN CRAIG WINTERS JR. MD (NPI 1508488065)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902156318 NPI number — CHERYL L KUNIS MD NEPHROLOGY PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHERYL L KUNIS MD NEPHROLOGY PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902156318
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/12/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11 E 26TH ST
Provider Second Line Business Mailing Address:
SUITE 1302
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10010-1402
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-438-9654
Provider Business Mailing Address Fax Number:
212-523-0498

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11 E 26TH ST
Provider Second Line Business Practice Location Address:
SUITE 1302
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10010-1402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-438-9654
Provider Business Practice Location Address Fax Number:
212-523-0498
Provider Enumeration Date:
09/12/2012

Additional Information

Authorized Official

Authorized Official Last Name:
KUNIS
Authorized Official First Name:
CHERYL
Authorized Official Middle Name:
LYNNE
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
646-438-9654

Provider Taxonomy Codes

  • Taxonomy code: 207RN0300X , with the licence number:  127884 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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