Healthcare Provider Details

I. General information

NPI: 1740243864
Provider Name (Legal Business Name): FRANK K. TUNG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 11/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 CENTRE ST SUITE 307
NEW YORK NY
10013-4408
US

IV. Provider business mailing address

139 CENTRE ST SUITE 307
NEW YORK NY
10013-4408
US

V. Phone/Fax

Practice location:
  • Phone: 212-334-3507
  • Fax: 212-334-4728
Mailing address:
  • Phone: 212-334-3507
  • Fax: 212-334-4728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0002X
TaxonomyAdult Congenital Heart Disease Physician
License Number206354
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207UN0902X
TaxonomyNuclear Imaging & Therapy Physician
License Number206354
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number206354
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: