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NPI Code Detail

MEDICARE: DR. MAYA KUN D.O.

MEDICARE: DR. MAYA KUN D.O.
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 : 1659568798
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAYA KUN D.O.
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 : 718-755-0332
Fax Number :
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 :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2007
Last Update Date : 07/29/2010

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