Healthcare Provider Details

I. General information

NPI: 1508739434
Provider Name (Legal Business Name): AUNG KYAW ZIN MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 RIVERSIDE DR
BINGHAMTON NY
13905-4246
US

IV. Provider business mailing address

200 RANO BLVD APT 2A9
VESTAL NY
13850-2754
US

V. Phone/Fax

Practice location:
  • Phone: 607-798-5111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberP137474
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: