Kuntz, Bruce L.

Kuntz, Bruce L. is an individual health care provider with primary practice located at 1780 Hanshaw Rd , Ithaca NY 14850-9105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kuntz, Bruce L. can be contacted via phone (607) 257-5858.

Contact Information

Primary practice address
1780 Hanshaw Rd Ithaca NY 14850-9105
Phone: (607) 257-5858
Fax: (607) 257-1718
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 208587 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 208587-1 New York

Profile Details

NPI number 1467421305
LBN Legal business name Kuntz, Bruce L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 28th, 2021 - about 5 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 1467421305 NPPES
Pennsylvania MEDICAID 0017413740003
Pennsylvania MEDICAID 02223403
Pennsylvania Other 080182608
Pennsylvania Other CC8362

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