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NPI Code Detail

MEDICARE: MAYA KUN MEDICAL P.C.

MEDICARE: MAYA KUN MEDICAL 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
12084P0804XChild & Adolescent Psychiatry Physician242491NY

General Provider Information

NPI Number : 1437464922
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAYA KUN MEDICAL P.C.
Provider Business Mailing Address
First Line : 2245 E 19TH ST APT 3A
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-4655
Country : US
Telephone Number : 718-781-5163
Fax Number : 646-558-0315
Provider Business Practice Location Address
First Line : 95 PIERREPONT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-2704
Country : US
Telephone Number : 718-755-0332
Fax Number : 646-558-0315
Authorized Official
Title or Position : PRESIDENT
Name : DR. MAYA KUN
Credential : D.O.
Telephone Number : 718-781-5163
Provider Enumeration Date : 08/09/2010
Last Update Date : 08/09/2010

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