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NPI Code Detail

MEDICARE: ALEXANDER BUNATIN M.D.

MEDICARE:   ALEXANDER  BUNATIN  M.D.
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
1207R00000XInternal Medicine Physician207201NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932179280
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER BUNATIN M.D.
Provider Business Mailing Address
First Line : 2806 E 23RD ST
Second Line : APT. 2A
City : BROOKLYN
State : NY
Zip : 11235-2786
Country : US
Telephone Number : 718-676-5099
Fax Number :
Provider Business Practice Location Address
First Line : 2876 W 27TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11224-2812
Country : US
Telephone Number : 718-265-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 02/25/2013

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Directions to “ ALEXANDER BUNATIN M.D.” Practice Location

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