Bagunu, Mary Jane Gunayon
Bagunu, Mary Jane Gunayon is an sole proprietor health care provider with primary practice located at 4606 79Th St Fl 2 , Elmhurst NY 11373-3536. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bagunu, Mary Jane Gunayon can be contacted via phone (917) 605-1170.Contact Information
Primary practice address
4606 79Th St Fl 2
Elmhurst NY 11373-3536
Phone: (917) 605-1170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 026645 | New York |
Profile Details
| NPI number | 1326251539 |
|---|---|
| LBN Legal business name | Bagunu, Mary Jane Gunayon |
| Credentials | PYSICAL THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Jan 5th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326251539 | NPPES |
| New York | MEDICAID | 02731542 |
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