Healthcare Provider Details

I. General information

NPI: 1215056502
Provider Name (Legal Business Name): NEAL ZUNG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 07/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 ELM PL
ARMONK NY
10504-2206
US

IV. Provider business mailing address

4 ELM PL
ARMONK NY
10504-2206
US

V. Phone/Fax

Practice location:
  • Phone: 914-450-0723
  • Fax: 914-273-3820
Mailing address:
  • Phone: 914-450-0723
  • Fax: 914-273-3820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number169309
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: