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NPI Code Detail

MEDICARE: DR. GEOFFREY SHEPPARD DUNN M.D.

MEDICARE: DR. GEOFFREY SHEPPARD DUNN 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
1207Q00000XFamily Medicine PhysicianMD60576872WA
2207Q00000XFamily Medicine PhysicianML60382425WA
3207Q00000XFamily Medicine Physician298667NY

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 : 1386081545
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEOFFREY SHEPPARD DUNN M.D.
Provider Business Mailing Address
First Line : 1345 RXR PLZ FL 13
Second Line :
City : UNIONDALE
State : NY
Zip : 11556-1301
Country : US
Telephone Number : 516-783-4600
Fax Number :
Provider Business Practice Location Address
First Line : 68 E 161ST ST FL 13
Second Line :
City : BRONX
State : NY
Zip : 10451-2207
Country : US
Telephone Number : 516-453-0435
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2013
Last Update Date : 02/10/2022

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