Doctor Name: | DR. GREGORY CHARLES BUNT |
NPI Number: | 1063420057 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 1585551 |
Business Practice Address: | 54 West 40th Street New York, NY - 10018 |
Business Phone Number: | 2123546000 |
Business Fax Number: | 2123919265 |
Mailing Address: | 611 Palmer Road, YONKERS |
State: | NY |
Postal Code: | 10701 |
Phone Number: | 2123546000 |
Fax Number: | 2123919265 |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 11/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 1585551 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |