Individual
JOHN ERIC KUNZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
201 E GREEN ST, ITHACA, NY 14850-5635
(607) 274-6230
(607) 274-6316
Mailing address
201 E GREEN ST, ITHACA, NY 14850-5635
(607) 274-6230
(607) 274-6316
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
556129
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00357891
—
NY
Enumeration date
05/15/2012
Last updated
05/15/2012
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