Provider Demographics
NPI:1982700316
Name:NAOMI KUNIN MD PC
Entity Type:Organization
Organization Name:NAOMI KUNIN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:SZENBERG
Authorized Official - Last Name:KUNIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-998-1668
Mailing Address - Street 1:3849 BEDFORD AVENUE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2411
Mailing Address - Country:US
Mailing Address - Phone:718-998-1668
Mailing Address - Fax:914-509-1209
Practice Address - Street 1:2150 CENTRAL PARK AVENUE
Practice Address - Street 2:SUITE 208
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-1854
Practice Address - Country:US
Practice Address - Phone:914-337-1400
Practice Address - Fax:914-509-1209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY186780207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0498257OtherGHI
3694721OtherAETNA HMO
481A5OtherEMPIRE BLUE CROSS
481A53OtherEMPIRE BLUE CROSS
P2145250OtherOXFORD
0002188957007OtherEMPIRE UNITED HEALTHCARE
7262245OtherAETNA PPO
NY01840064Medicaid
179875POtherHIP
299122POtherHIP
2236992OtherCIGNA
F88822Medicare UPIN
NYWES891Medicare ID - Type Unspecified