MEDICARE: STEVEN B. TUNG, M.D.P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	107343	NY

General Provider Information

NPI Number	:	1154647840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN B. TUNG, M.D.P.C.

Provider Business Mailing Address
First Line	:	8723 MYRTLE AVE
Second Line	:
City	:	GLENDALE
State	:	NY
Zip	:	11385-7847
Country	:	US
Telephone Number	:	718-847-6066
Fax Number	:	718-846-4552

Provider Business Practice Location Address
First Line	:	8723 MYRTLE AVE
Second Line	:
City	:	GLENDALE
State	:	NY
Zip	:	11385-7847
Country	:	US
Telephone Number	:	718-847-6066
Fax Number	:	718-846-4552

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. STEVEN BUNLIN TUNG
Credential	:	M.D.
Telephone Number	:	718-947-6066

Provider Enumeration Date	:	04/20/2010
Last Update Date	:	04/20/2010

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