Individual
FILOMENA BUNCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, NP
Contact information
Practice address
3771 NESCONSET HWY STE 212, SOUTH SETAUKET, NY 11720-1154
(631) 689-5390
(631) 689-5395
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 689-5390
(631) 689-5395
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F4003571
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01759535
—
NY
Enumeration date
11/21/2006
Last updated
04/07/2022
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