Healthcare Provider Details

I. General information

NPI: 1386584795
Provider Name (Legal Business Name): JENNIFER TSUNG DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4846 BROADWAY
NEW YORK NY
10034-3136
US

IV. Provider business mailing address

160 W 66TH ST APT 30A
NEW YORK NY
10023-6561
US

V. Phone/Fax

Practice location:
  • Phone: 212-304-8387
  • Fax:
Mailing address:
  • Phone: 212-304-8397
  • Fax: 212-304-8377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number008888
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: