Provider Demographics
NPI:1710030671
Name:NUNES, EDWARD V JR (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:V
Last Name:NUNES
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1051 RIVERSIDE DR UNIT 51 ROOM 3717
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-1007
Mailing Address - Country:US
Mailing Address - Phone:212-543-5581
Mailing Address - Fax:212-543-5326
Practice Address - Street 1:617 W END AVE
Practice Address - Street 2:SUITE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-1607
Practice Address - Country:US
Practice Address - Phone:212-579-0339
Practice Address - Fax:212-202-4187
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY1537012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY51D281Medicare ID - Type Unspecified