Provider Demographics
NPI:1184623563
Name:UNGER, PAMELA D (MD)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:D
Last Name:UNGER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 GUSTAVE L LEVY PL
Mailing Address - Street 2:PATHOLOGY, BOX 1194
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6500
Mailing Address - Country:US
Mailing Address - Phone:212-731-7771
Mailing Address - Fax:212-534-7491
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:ANNENBERG BUILDING ROOM 15-30
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6500
Practice Address - Country:US
Practice Address - Phone:212-241-9116
Practice Address - Fax:212-831-4877
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2011-12-28
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Provider Licenses
StateLicense IDTaxonomies
NY155770207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00F561Medicare ID - Type Unspecified
NYD91758Medicare UPIN