# ABIM MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407993280
- **Authorized official:** DR. ALEXANDER BUNATIN M.D. (PRESIDENT)
- **Authorized official phone:** (718) 868-8668

## Contact information

- **Practice address:** 2004 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691-2810
- **Practice address phone:** (718) 868-8668
- **Mailing address:** 2004 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691-2810
- **Mailing address phone:** (718) 868-8668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 207201 | NY | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 08/22/2020