Individual
KIMBERLY A BUNCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3771 NESCONSET HWY STE 212, SOUTH SETAUKET, NY 11720-1154
(631) 689-5390
(631) 689-5395
Mailing address
3771 NESCONSET HWY STE 212, SOUTH SETAUKET, NY 11720-1154
(631) 689-5390
(631) 689-5395
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401774-1
NY
Other
Enumeration date
09/10/2014
Last updated
04/07/2022
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