Provider Demographics
NPI:1528159373
Name:HUNTE, PAMELA LAUREN (DDS)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:LAUREN
Last Name:HUNTE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 MADISON AVE
Mailing Address - Street 2:SUITE 1818
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-1101
Mailing Address - Country:US
Mailing Address - Phone:212-682-2892
Mailing Address - Fax:212-661-6608
Practice Address - Street 1:275 MADISON AVE
Practice Address - Street 2:SUITE 1818
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1101
Practice Address - Country:US
Practice Address - Phone:212-682-2892
Practice Address - Fax:212-661-6608
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045778-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY84-1631327OtherFEDERAL TAX ID#