Provider Demographics
NPI:1972046662
Name:BUNKO, MARTYNA
Entity Type:Individual
Prefix:
First Name:MARTYNA
Middle Name:
Last Name:BUNKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 SHORE FRONT PKWY APT 12T
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11693-2055
Mailing Address - Country:US
Mailing Address - Phone:347-446-9202
Mailing Address - Fax:
Practice Address - Street 1:8000 SHORE FRONT PKWY APT 12T
Practice Address - Street 2:
Practice Address - City:ROCKAWAY BEACH
Practice Address - State:NY
Practice Address - Zip Code:11693
Practice Address - Country:US
Practice Address - Phone:347-446-9202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-29
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist