Individual
DR. NANCY BUNKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14 SUNSET DR, LATHAM, NY 12110-2104
(518) 782-2309
Mailing address
14 SUNSET DR, LATHAM, NY 12110-2104
(518) 782-2309
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
187794
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01451078
—
NY
Enumeration date
02/24/2006
Last updated
07/08/2007
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