Provider Demographics
NPI:1720064041
Name:GUNDY, EDWARD VERITY (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:VERITY
Last Name:GUNDY
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 1:210 WESTCHESTER AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2901
Mailing Address - Country:US
Mailing Address - Phone:914-681-3146
Mailing Address - Fax:914-682-6403
Practice Address - Street 1:1 THEALL RD
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-1404
Practice Address - Country:US
Practice Address - Phone:914-682-6540
Practice Address - Fax:914-682-6403
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY131888207X00000X
CT036444207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY46106OtherAETNA HMO
NY54870OtherGHI PPO
NY133884168OtherMULTIPLAN
NY47014OtherUNITED HEALTH CARE
NY131888-0WOtherWORKERS COMPENSATION
NY133884168OtherEMPIRE STATE PLAN (NYS)
NY00641089Medicaid
NY133884168OtherBEECH STREET
NY0604933-010OtherCIGNA SPECIALTY
NY0D1076/3C1069OtherHEALTH NET
NY200027170OtherRAILROAD MEDICARE
NY329558OtherPHCS
NY51A152OtherBLUE CROSS PPO
NY133884168OtherPOMCO
NY4199754OtherAETNA NON HMO
NY00000007591OtherGHI HMO
NYWS498OtherOXFORD
NY200027170OtherRAILROAD MEDICARE
NY51A151Medicare ID - Type Unspecified
NYC10706Medicare UPIN