Provider Demographics
NPI:1801944657
Name:DUNN, BERNADETTE (DC)
Entity type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:
Last Name:DUNN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 ROUTE 210
Mailing Address - Street 2:
Mailing Address - City:STONY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10980-2311
Mailing Address - Country:US
Mailing Address - Phone:845-942-5131
Mailing Address - Fax:845-942-2083
Practice Address - Street 1:24 ROUTE 210
Practice Address - Street 2:
Practice Address - City:STONY POINT
Practice Address - State:NY
Practice Address - Zip Code:10980-2311
Practice Address - Country:US
Practice Address - Phone:845-942-5131
Practice Address - Fax:845-942-2083
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007982111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
X12311Medicare PIN