| Maria L Bunag Medical P C | |
|
1111 Targee St Staten Island NY 10304-4323 | |
| (718) 702-2507 | |
| (718) 447-6654 |
| Full Name | Maria L Bunag Medical P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 Targee St, Staten Island, New York |
| Authorized Official Name and Position | Maria Lourdes Bunag (MD) |
| Authorized Official Contact | 7187022507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria L Bunag Medical P C 1111 Targee St Staten Island NY 10304-4323 Ph: (718) 702-2507 | Maria L Bunag Medical P C 1111 Targee St Staten Island NY 10304-4323 Ph: (718) 702-2507 |
| NPI Number | 1730379488 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 05/01/2020 |
| Medicare PECOS PAC ID | 0244329951 |
|---|---|
| Medicare Enrollment ID | O20071204000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730379488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 168161 (New York) | Primary |
| Provider Name | Maria L Bunag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144287533 PECOS PAC ID: 1355324278 Enrollment ID: I20040611000190 |
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