Organization
WATERS PLACE MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUN JIM M.D. (M.D.)
(718) 918-7901
Entity
Organization
Contact information
Practice address
1733 EASTCHESTER RD, BRONX, NY 10461-2315
(718) 918-7901
(718) 918-8364
Mailing address
332 COVERT AVE, NEW HYDE PARK, NY 11040-5437
(917) 697-1550
(718) 918-8364
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
12/02/2013
Last updated
03/13/2017
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