Gungon, Teresita

Gungon, Teresita is an individual health care provider with primary practice located at 253 Main St , Dansville NY 14437-1111. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gungon, Teresita can be contacted via phone (585) 335-2296.

Contact Information

Primary practice address
253 Main St Dansville NY 14437-1111
Fax: (585) 335-2299
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 110602 New York

Profile Details

NPI number 1174580260
LBN Legal business name Gungon, Teresita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174580260 NPPES
New York Other 00051134001 UNIVERA
New York Other 2837 UNIVERA
New York Other 5174022 UNIVERA
New York Other 0086371 UNIVERA
New York Other 1012176CK UNIVERA
New York MEDICAID 00468153 UNIVERA

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