Provider Demographics
NPI:1598766628
Name:GUNSER, PAUL (PSYD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:GUNSER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 CENTRAL PARK AVE # 2
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-1044
Mailing Address - Country:US
Mailing Address - Phone:914-965-1179
Mailing Address - Fax:914-965-1859
Practice Address - Street 1:1250 CENTRAL PARK AVE # 2
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-1044
Practice Address - Country:US
Practice Address - Phone:914-965-1179
Practice Address - Fax:914-965-1859
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009187103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1598766628OtherPERSONAL NPI
NYV30501Medicare ID - Type Unspecified