MEDICARE: KUNIL BAE MD, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1275465536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KUNIL BAE MD, P.C.

Provider Business Mailing Address
First Line	:	15408 NORTHERN BLVD STE 2I
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5042
Country	:	US
Telephone Number	:	718-358-3151
Fax Number	:	718-358-4151

Provider Business Practice Location Address
First Line	:	15408 NORTHERN BLVD STE 2I
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5042
Country	:	US
Telephone Number	:	718-358-3151
Fax Number	:	718-358-4151

Authorized Official
Title or Position	:	MD
Name	:	KUNIL BAE
Credential	:	MD
Telephone Number	:	917-715-5515

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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