Provider Demographics
NPI:1184493744
Name:DUNN, MARIE TAMARA
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:TAMARA
Last Name:DUNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:853 E 231ST ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-4407
Mailing Address - Country:US
Mailing Address - Phone:917-226-0574
Mailing Address - Fax:
Practice Address - Street 1:126 BUENA VISTA AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-3547
Practice Address - Country:US
Practice Address - Phone:914-316-4684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-25
Last Update Date:2023-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health