Healthcare Provider Details

I. General information

NPI: 1013949932
Provider Name (Legal Business Name): JUNA BOBBY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JUENA J. SUK M.D.

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 E 77TH ST
NEW YORK NY
10075-1817
US

IV. Provider business mailing address

80 THEODORE FREMD AVE
RYE NY
10580-2891
US

V. Phone/Fax

Practice location:
  • Phone: 585-695-3321
  • Fax:
Mailing address:
  • Phone: 914-419-8723
  • Fax: 914-259-5340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number210146
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: