1982700316 NPI number — NAOMI KUNIN MD PC

Table of content: (NPI 1982700316)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982700316 NPI number — NAOMI KUNIN MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NAOMI KUNIN MD PC
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:
1982700316
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3849 BEDFORD AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11229-2411
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-998-1668
Provider Business Mailing Address Fax Number:
914-509-1209

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2150 CENTRAL PARK AVENUE
Provider Second Line Business Practice Location Address:
SUITE 208
Provider Business Practice Location Address City Name:
YONKERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10710-1854
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-337-1400
Provider Business Practice Location Address Fax Number:
914-509-1209
Provider Enumeration Date:
09/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KUNIN
Authorized Official First Name:
NAOMI
Authorized Official Middle Name:
SZENBERG
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
718-998-1668

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  186780 , 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)

  • Identifier: 0498257 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3694721 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 481A5 . This is a "EMPIRE BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 481A53 . This is a "EMPIRE BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: P2145250 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0002188957007 . This is a "EMPIRE UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7262245 . This is a "AETNA PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01840064 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 179875P . This is a "HIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 299122P . This is a "HIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2236992 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com