Provider Demographics
NPI:1992994404
Name:BHUNIYA, ANUPAM
Entity type:Individual
Prefix:
First Name:ANUPAM
Middle Name:
Last Name:BHUNIYA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 DEEPDALE PKWY
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1226
Mailing Address - Country:US
Mailing Address - Phone:516-984-0435
Mailing Address - Fax:516-277-2671
Practice Address - Street 1:152 DEEPDALE PKWY
Practice Address - Street 2:
Practice Address - City:ALBERTSON
Practice Address - State:NY
Practice Address - Zip Code:11507-1226
Practice Address - Country:US
Practice Address - Phone:516-984-0435
Practice Address - Fax:516-277-2671
Is Sole Proprietor?:No
Enumeration Date:2007-10-21
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017513-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist