Provider Demographics
NPI:1174294490
Name:CONFIDENTIALITY MEDICAL SERVICES P.C.
Entity Type:Organization
Organization Name:CONFIDENTIALITY MEDICAL SERVICES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:O
Authorized Official - Last Name:DUNNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-809-4921
Mailing Address - Street 1:1133 MIDLAND AVE APT 1E
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-6454
Mailing Address - Country:US
Mailing Address - Phone:718-809-4921
Mailing Address - Fax:212-202-4921
Practice Address - Street 1:20124 43RD AVE FL 2
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2545
Practice Address - Country:US
Practice Address - Phone:718-809-4921
Practice Address - Fax:212-202-4921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-26
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Single Specialty