MEDICARE: BUNCHE CONSULTING LLC

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	174400000X	Specialist

General Provider Information

NPI Number	:	1659869477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUNCHE CONSULTING LLC

Provider Business Mailing Address
First Line	:	2015 PITMANAVENUE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466
Country	:	US
Telephone Number	:	347-964-7752
Fax Number	:	347-964-7752

Provider Business Practice Location Address
First Line	:	2015 PITMANAVENUE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466
Country	:	US
Telephone Number	:	347-964-7752
Fax Number	:	347-964-7752

Authorized Official
Title or Position	:	CEO
Name	:	MRS. ANTOINETTE S. BUNCHE
Credential	:	MS, ED
Telephone Number	:	347-964-7752

Provider Enumeration Date	:	04/26/2018
Last Update Date	:	04/26/2018

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