MEDICARE: JENNIFER TSUNG DVM

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	174M00000X	Veterinarian	008888	NY

General Provider Information

NPI Number	:	1386584795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER TSUNG DVM

Provider Business Mailing Address
First Line	:	160 W 66TH ST APT 30A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-6561
Country	:	US
Telephone Number	:	212-304-8397
Fax Number	:	212-304-8377

Provider Business Practice Location Address
First Line	:	4846 BROADWAY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10034-3136
Country	:	US
Telephone Number	:	212-304-8387
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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