Provider Demographics
NPI:1043763709
Name:NUNEZ, DAVID
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:NUNEZ
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 1:45 RUTGERS ST
Mailing Address - Street 2:APT# 7H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-7471
Mailing Address - Country:US
Mailing Address - Phone:646-881-8058
Mailing Address - Fax:
Practice Address - Street 1:45 RUTGERS ST
Practice Address - Street 2:APT# 7H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-7471
Practice Address - Country:US
Practice Address - Phone:646-881-8058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-29
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator