Doctor Name: | DR. CAROL LYNN DUNETZ |
NPI Number: | 1205925765 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 143266 |
Business Practice Address: | 2001 Marcus Avenue Lake Success, NY - 11042 |
Business Phone Number: | 5164882757 |
Business Fax Number: | 5164883940 |
Mailing Address: | 990 Stewart Ave, Suite 400 GARDEN CITY |
State: | NY |
Postal Code: | 115304822 |
Phone Number: | 5162222022 |
Fax Number: | 5162228475 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 02/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 143266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |