MEDICARE: MR. RICARDO BARRINGTON GUNN

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	101Y00000X	Counselor		NY

General Provider Information

NPI Number	:	1932979853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICARDO BARRINGTON GUNN

Provider Business Mailing Address
First Line	:	2513 RADCLIFF AVE FL 1
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-4205
Country	:	US
Telephone Number	:	347-879-3407
Fax Number	:	718-798-4380

Provider Business Practice Location Address
First Line	:	2513 RADCLIFF AVE FL 1
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-4205
Country	:	US
Telephone Number	:	347-879-3407
Fax Number	:	718-798-4380

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

Provider Enumeration Date	:	01/02/2024
Last Update Date	:	01/02/2024

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