Individual
DR. GREGORY BUNZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
630 W 168TH ST, P&S BOX 20, NEW YORK, NY 10032-3725
(212) 305-2015
(212) 305-8493
Mailing address
630 W 168TH ST, P&S BOX 20, NEW YORK, NY 10032-3725
(212) 305-2015
(212) 305-8493
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042814
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02388778
—
NY
Enumeration date
02/06/2007
Last updated
07/09/2007
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