MEDICARE: UNOCARE MEDICAL PC

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	207RI0200X	Infectious Disease Physician	204900	NY
2	207R00000X	Internal Medicine Physician	204900	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	204900	OTHER	NY	STATE LICENSE

General Provider Information

NPI Number	:	1316318884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNOCARE MEDICAL PC

Provider Business Mailing Address
First Line	:	811 SOUTHERN BLVD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10459-5202
Country	:	US
Telephone Number	:	917-801-1141
Fax Number	:	917-801-1144

Provider Business Practice Location Address
First Line	:	811 SOUTHERN BLVD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10459-5202
Country	:	US
Telephone Number	:	917-801-1141
Fax Number	:	917-801-1144

Authorized Official
Title or Position	:	CEO
Name	:	RICARDO O DUNNER
Credential	:	M.D
Telephone Number	:	917-801-1141

Provider Enumeration Date	:	10/09/2015
Last Update Date	:	10/09/2015

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Directions to “UNOCARE MEDICAL PC ” Practice Location

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