Individual
ANGELA M BUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA C
Contact information
Practice address
85 W BURNSIDE AVE, BRONX, NY 10453-4015
(718) 716-4400
(718) 228-7471
Mailing address
85 W BURNSIDE AVE, BRONX, NY 10453-4015
(718) 716-4400
(718) 228-7471
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003818
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003818
LICENSE#
NY
05
—
00695941
—
NY
Enumeration date
11/27/2006
Last updated
11/22/2010
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