Individual
DR. SUSAN BANKOSKI CHUNYK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
200 N MAIN ST, EAST LONGMEADOW, MA 01028-2392
(413) 525-7979
(413) 525-8303
Mailing address
200 N MAIN ST, EAST LONGMEADOW, MA 01028-2392
(413) 525-7979
(413) 525-8303
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
000166
CT
231H00000X
Audiologist
Primary
265
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020602
BMC HEALTHNET INDIVIDUAL
MA
05
—
5102448
—
MA
05
—
9712950
—
MA
01
—
AD0023
BC/BS INDIVIDUAL NUMBER
MA
01
—
AG0006
BCBS GROUP NUMBER
MA
Enumeration date
06/09/2005
Last updated
07/09/2007
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