Healthcare Provider Details

I. General information

NPI: 1023306636
Provider Name (Legal Business Name): TZE ON POON, M.D. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2011
Last Update Date: 07/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

829 57TH ST 6TH FLOOR
BROOKLYN NY
11220-3677
US

IV. Provider business mailing address

139 CENTRE ST ROOM 603
NEW YORK NY
10013-4552
US

V. Phone/Fax

Practice location:
  • Phone: 718-633-8666
  • Fax: 212-274-8666
Mailing address:
  • Phone: 212-274-8848
  • Fax: 212-274-8666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: TZE POON
Title or Position: PRESIDENT
Credential:
Phone: 212-274-8848