Gwendolyn Cunningham in New York - Medical

Gwendolyn Cunningham - NPI 1154406031

Gwendolyn Cunningham is a Medical in New York, New York. Gwendolyn Cunningham practices all healthcare services and medical treatments related to Medical. The NPI Number for Gwendolyn Cunningham is 1154406031. The last update date is 2011-12-19.

Gwendolyn Cunningham's current location address is 622 W 168th St, New York, New York. You can contact this provider via phone number 2123052500. The mailing address for Gwendolyn Cunningham is 622 W 168th St, New York, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Gwendolyn Cunningham
Address 622 W 168th St, New York, New York
Phone Number 2123052500
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1154406031
Provider Enumeration Date 2006-10-26
Last Updated Date 2011-12-19

Provider Mailing Address Detail

Address 622 W 168th St
City New York
State New York (NY)
Post Code 100323720
Phone Number 2123052500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 11459
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
246075 NY --

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FAQs about Gwendolyn Cunningham

What is the unique 10-digit identifier code assigned to Gwendolyn Cunningham by the Centers for Medicare & Medicaid Services?

The Gwendolyn Cunningham has been issued the NPI (National Provider Identifier) 1154406031 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Gwendolyn Cunningham is located?

The Gwendolyn Cunningham is situated at the following address: 622 W 168Th St, New York, NY, 100323720.

What is Gwendolyn Cunningham's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Gwendolyn Cunningham is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1154406031 to Gwendolyn Cunningham?

The Centers for Medicare & Medicaid Services originally issued the 1154406031 to Gwendolyn Cunningham on 2006-10-26.

When was the Gwendolyn Cunningham's information last updated?

The Gwendolyn Cunningham's information was last updated on 2011-12-19.

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