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:
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Health care specialties

SpecialtyCodeLicense #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 10 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 1326251539 NPPES
New York MEDICAID 02731542

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