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General NPI Number Information
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NPI Number | 1447399365
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Entity Type | Individual
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Provider Name | DANIEL ALEXANDER KUNCIO DDS
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2603 203RD ST
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City | BAYSIDE
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State | NY
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Zip | 11360-2330
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Country | US
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Telephone | 718-352-1361
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Fax | 718-352-0424
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Provider Business Mailing Address
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Address Line | 1737 YORK AVE #4M
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City | NEW YORK
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State | NY
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Zip | 10128-6841
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Country | US
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Telephone | 646-505-8852
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Fax | 718-352-0424
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 051019
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License Number State | NY
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