Deborah Bunzey, CERTIFIED LAB TECH

Individual provider Active NPI Clinical Medical Laboratory · Afton, NY

NPI 1235568759 · NPPES record last updated Oct 26, 2024

Key facts

NPI
1235568759
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Medical Laboratory 291U00000X
License
33D2064447 (NY)
Practice address
715 Melondy Hill Rd
Afton, NY 13730-2244
Phone
(607) 226-8733
Fax
(607) 639-3244
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
33D2064447NYMDClinical Medical Laboratory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 33D2064447 NY Yes

Addresses

Primary practice location

715 Melondy Hill Rd
Afton, NY 13730-2244

Mailing address

715 Melondy Hill Rd
Afton, NY 13730-2244
Phone (607) 226-8733

Other providers in Afton, NY

All providers in Afton, NY · Clinical Medical Laboratory in New York

Sources for this page

Verify at the official NPI Registry.