Individual
BRETT R BUNKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
9677 BREWERTON RD, BREWERTON, NY 13029-8738
(315) 668-3908
(315) 668-3946
Mailing address
6163 BIRCHWOOD RD, NORTH SYRACUSE, NY 13212-1801
(315) 263-8645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011768
NY
363A00000X
Physician Assistant
107486
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03316929
—
NY
Enumeration date
02/01/2007
Last updated
11/15/2011
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