Provider Demographics
NPI:1215056502
Name:ZUNG, NEAL (MD)
Entity type:Individual
Prefix:
First Name:NEAL
Middle Name:
Last Name:ZUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ELM PL
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-2206
Mailing Address - Country:US
Mailing Address - Phone:914-450-0723
Mailing Address - Fax:914-273-3820
Practice Address - Street 1:4 ELM PL
Practice Address - Street 2:
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504-2206
Practice Address - Country:US
Practice Address - Phone:914-450-0723
Practice Address - Fax:914-273-3820
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2017-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY169309207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01216453Medicaid
NY35F2634881Medicare PIN
NY35F26ZXWW1Medicare PIN
NYE71222Medicare UPIN
NY01216453Medicaid
NY35F261Medicare ID - Type Unspecified
NY35F26YRXP1Medicare PIN