MEDICARE: DR. TIN MAR TUN M.D.

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	208000000X	Pediatrics Physician	213698-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200944643	OTHER	NY	PHCS
2	213698	OTHER	NY	HIP
3	213698-A15	OTHER	NY	HEALTHFIRST
4	P2590785	OTHER	NM	OXFORD
5	7738352	OTHER	NY	AETNA - COMMERCIAL
6	010173902	OTHER	NY	AMERICHOICE
7	200944643	OTHER	NY	HORIZON
8	210919A	OTHER	NY	MAGNACARE
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	302310401	OTHER	NM	HEALTHPLUS
11	6B120	OTHER	NY	EMPIRE -BC/BS
12	1202779	OTHER	NY	UNITED HEALTH CARE
13	2696195	OTHER	NY	GHI
14	2886080	OTHER	NY	AETNA - GOV PLANS
15	1858908-003	OTHER	NY	CIGNA
16	200944643	OTHER	NY	MUTIPLAN
17	3C4648	OTHER	NY	HEALTHNET
18	PC2830	OTHER	NY	CENTERCARE

General Provider Information

NPI Number	:	1720070212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIN MAR TUN M.D.

Provider Business Mailing Address
First Line	:	2119 W 6TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-3726
Country	:	US
Telephone Number	:	718-336-2499
Fax Number	:	718-336-2496

Provider Business Practice Location Address
First Line	:	2119 W 6TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-3726
Country	:	US
Telephone Number	:	718-336-2499
Fax Number	:	718-336-2496

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

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	12/09/2025

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