MEDICARE: DR. PAMELA LAUREN HUNTE DDS

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	122300000X	Dentist	045778-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	84-1631327	OTHER	NY	FEDERAL TAX ID#

General Provider Information

NPI Number	:	1528159373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA LAUREN HUNTE DDS

Provider Business Mailing Address
First Line	:	275 MADISON AVE
Second Line	:	SUITE 1818
City	:	NEW YORK
State	:	NY
Zip	:	10016-1101
Country	:	US
Telephone Number	:	212-682-2892
Fax Number	:	212-661-6608

Provider Business Practice Location Address
First Line	:	275 MADISON AVE
Second Line	:	SUITE 1818
City	:	NEW YORK
State	:	NY
Zip	:	10016-1101
Country	:	US
Telephone Number	:	212-682-2892
Fax Number	:	212-661-6608

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	02/14/2011

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