Provider Demographics
NPI:1417920851
Name:UNCYK, AVRAHAM (MD)
Entity Type:Individual
Prefix:
First Name:AVRAHAM
Middle Name:
Last Name:UNCYK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DOCS CONTINUUM MEDICAL GROUP
Mailing Address - Street 2:465 COLUMBUS AVE
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595
Mailing Address - Country:US
Mailing Address - Phone:914-749-7000
Mailing Address - Fax:914-769-1824
Practice Address - Street 1:3251 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-4509
Practice Address - Country:US
Practice Address - Phone:718-792-7600
Practice Address - Fax:718-792-3903
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY162342207Q00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02007578Medicaid
A85720Medicare UPIN
NY9X5341Medicare ID - Type Unspecified