Organization
JOSEPH T. BUMATAY, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH TAGUPA BUMATAY M.D. (OWNER)
(718) 380-4700
Entity
Organization
Contact information
Practice address
16918 UNION TPKE, FLUSHING, NY 11366-1314
(718) 380-4700
(718) 380-4834
Mailing address
16918 UNION TPKE, FLUSHING, NY 11366-1314
(718) 380-4700
(718) 380-4834
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
132920
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00603443
—
NY
Enumeration date
02/04/2013
Last updated
02/04/2013
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