Provider Demographics
NPI:1356458574
Name:DUNAY, DARLENE ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:ANN
Last Name:DUNAY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 OAK ST
Mailing Address - Street 2:
Mailing Address - City:OLD FORGE
Mailing Address - State:PA
Mailing Address - Zip Code:18518-1619
Mailing Address - Country:US
Mailing Address - Phone:570-457-7150
Mailing Address - Fax:570-457-8611
Practice Address - Street 1:314 OAK ST
Practice Address - Street 2:
Practice Address - City:OLD FORGE
Practice Address - State:PA
Practice Address - Zip Code:18518-1619
Practice Address - Country:US
Practice Address - Phone:570-457-7150
Practice Address - Fax:570-457-8611
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005374-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA10017190001Medicaid
PA10017190001Medicaid
PA99031Medicare ID - Type Unspecified