MEDICARE: MICHAL KUNZ

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	2084F0202X	Forensic Psychiatry Physician	235638	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1437274271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAL KUNZ

Provider Business Mailing Address
First Line	:	600 E 125TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035-6000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	WARDS ISLAND
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035
Country	:	US
Telephone Number	:	212-427-9003
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/08/2007

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Directions to “ MICHAL KUNZ ” Practice Location

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