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Organization

FILOMENA BUNCKE, NP PSYCHIATRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TONI ANN SCOLLO (MANAGER)
(631) 689-5390
Entity
Organization

Contact information

Practice address
140 BELLEMEADE RD, SUITE A, SETAUKET, NY 11733-6400
(631) 689-5390
(631) 689-5395
Mailing address
140 BELLEMEADE RD, SUITE A, SETAUKET, NY 11733-6400
(631) 689-5390
(631) 689-5395

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
F400357-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1306911748
NPI
NY
Enumeration date
06/21/2010
Last updated
06/21/2010
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